Individual
CHESTER TAPAWAN LASQUETY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 JENNINGS MILL PKWY APT 1437, ATHENS, GA 30606
(609) 553-9892
Mailing address
355 JENNINGS MILL PKWY APT 1437, ATHENS, GA 30606
(609) 553-9892
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.4124OT
SC
Other
Enumeration date
06/20/2013
Last updated
07/15/2014
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