MEDICARE: ELENA CHBEIR 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
1	225XP0200X	Pediatric Occupational Therapist	OT61176425	WA
2	225X00000X	Occupational Therapist	OT61176425	WA

General Provider Information

NPI Number	:	1225709058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA CHBEIR OTR/L

Provider Business Mailing Address
First Line	:	4446 39TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4208
Country	:	US
Telephone Number	:	216-469-1493
Fax Number	:

Provider Business Practice Location Address
First Line	:	5701 KERSEY WAY SE
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98092-5045
Country	:	US
Telephone Number	:	253-931-4959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2021
Last Update Date	:	07/15/2022

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