Individual
STACEY RENEE CHESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5531 STATE ROUTE 6, ANDOVER, OH 44003
(440) 293-7278
(440) 293-8432
Mailing address
848 MARTIN ST, MEADVILLE, PA 16335-1037
(814) 337-0818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.004878
OH
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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