Individual
CHELSEY LYN THIVIERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
590 FISHERS STATION DR STE 130, VICTOR, NY 14564-9744
(585) 924-7207
Mailing address
1500 MEETING HOUSE RD BLDG 21, SEA GIRT, NJ 08750-2220
(609) 607-7400
(609) 488-5654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028637
NY
225X00000X
Occupational Therapist
46TR01030600
NJ
Other
Enumeration date
02/07/2022
Last updated
12/09/2023
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