Individual
OLIVIA CHASE MCNAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
310 TERRACE AVE, WEST HAVEN, CT 06516-2638
(203) 654-2100
Mailing address
130 MATTHEW ST, PROSPECT, CT 06712-1471
(925) 451-4105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13586
CT
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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