Individual
CHIRS OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
260 FORKS PLACER MINE ROAD, GASQUET, CA 95543-0247
(707) 954-5119
Mailing address
POST OFFICE BOX 247, GASQUET, CA 95543-0247
(707) 954-5119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
215749
OR
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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