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Individual

MR. MICHAEL D. CHITWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OCCUPATIONAL THERAPI

Contact information

Practice address
200 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017
(859) 301-8286
(859) 578-5975
Mailing address
PO BOX 638880, CINCINNATI, OH 45263-8880
(859) 301-9286
(859) 578-5975

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134418
KY

Other

Enumeration date
04/09/2018
Last updated
04/09/2018
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