Individual
MR. DANIEL WILLIAM CHETTLEBURGH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
6450 MIAMI CIR, SOUTH BEND, IN 46614-6480
(574) 231-1389
(574) 231-1502
Mailing address
6450 MIAMI CIR, SOUTH BEND, IN 46614-6480
(574) 231-1389
(574) 231-1502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000080A
IN
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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