Individual
ELIZABETH CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
40 PROFESSIONAL DR, JEFFERSON, GA 30549-6333
(706) 367-1141
(706) 367-1142
Mailing address
526 JEFFERSON WALK CIR, JEFFERSON, GA 30549-5573
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT004043
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372085900B
—
GA
Enumeration date
05/24/2007
Last updated
04/15/2019
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