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Individual

RODREESE CHAMBERLAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2210 46TH AVE W APT 26, BRADENTON, FL 34207-1284
(765) 208-5459
Mailing address
2210 46TH AVE W, BRADENTON, FL 34207-1290
(765) 208-5459

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18164
FL

Other

Enumeration date
12/09/2021
Last updated
12/09/2021
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