Individual
JONATHAN CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2579 ALLEN CIR, WOODLAND, CA 95776-5339
(410) 977-8057
Mailing address
2579 ALLEN CIR, WOODLAND, CA 95776-5339
(410) 977-8057
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3095
CA
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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