Individual
CHELSIE FAYE CHITTENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3501 PARK LANE DR, LA CROSSE, WI 54601-7747
(608) 789-4800
Mailing address
3804 ELM DR, LA CROSSE, WI 54601-8326
(608) 385-0079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1604
WI
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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