Individual
CHAD DAVID LESCALLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OTRL
Contact information
Practice address
801 KINGS HWY N, FOX REHABILITATION SERVICES, CHERRY HILL, NJ 08034-1513
(877) 407-3422
(877) 407-4329
Mailing address
139 N LOUDOUN ST STE 9, WINCHESTER, VA 22601-6024
(877) 407-3422
(877) 407-4329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003192
VA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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