Individual
MR. WILLIAM RICHARD CHASTEEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
984 SABATTUS ST, LEWISTON, ME 04240-3363
(207) 624-1765
(207) 753-3003
Mailing address
590 GARDINER RD, DRESDEN, ME 04342-3037
(912) 660-1255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA3181
ME
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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