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NPI Code Detail

MEDICARE: CHANTELLE CURTIS OTR/L

MEDICARE:   CHANTELLE  CURTIS  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT00957RI

General Provider Information

NPI Number : 1386989606
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTELLE CURTIS OTR/L
Provider Business Mailing Address
First Line : 31 MESA DR
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-1667
Country : US
Telephone Number : 401-465-9937
Fax Number :
Provider Business Practice Location Address
First Line : 31 MESA DR
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-1667
Country : US
Telephone Number : 401-465-9937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2012
Last Update Date : 11/28/2012

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Directions to “ CHANTELLE CURTIS OTR/L” Practice Location

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