Individual
CHEYENNE ROSE PHANEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10 VETERANS MEMORIAL DR, MILFORD, MA 01757-2900
(508) 473-6414
Mailing address
23 ROLLING GREEN DR APT K, FALL RIVER, MA 02720-7846
(508) 496-6278
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4476
MA
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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