Individual
JULIE RENEE CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(304) 363-4891
Mailing address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(304) 363-4891
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2120
WV
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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