Individual
MS. HARRIET CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20 EPPS ST, HOPEWELL, VA 23860
(804) 541-1445
Mailing address
1311 APPOMATTOX DR, COLONIAL HEIGHTS, VA 23834-2702
(804) 520-6499
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000034
VA
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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