Organization
CHONKO OCCUPATIONAL THERAPY, LLC
Active
Parent organization
CHONKO OCCUPATIONAL THERAPY, LLC
Other names
Kid O'Therapy,LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHONKO OCCUPATIONAL THERAPY, LLC
Authorized official
MRS. KIMBERLY E CHONKO MSOTR/L (OWNER/OCCUPATIONAL THERAPIST)
(207) 841-1560
Entity
Organization
Contact information
Practice address
41 MAIN ST, TOPSHAM, ME 04086-1285
(207) 844-8287
(207) 844-8245
Mailing address
41 MAIN ST, TOPSHAM, ME 04086-1285
(207) 841-1560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
OT1416
ME
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43337500
—
ME
Enumeration date
05/18/2009
Last updated
09/23/2020
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