MEDICARE: KIMBERLY CHAMBERS OTR

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	225X00000X	Occupational Therapist	020544	NY

General Provider Information

NPI Number	:	1578019006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY CHAMBERS OTR

Provider Business Mailing Address
First Line	:	140 BRUCE AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10705-3812
Country	:	US
Telephone Number	:	914-426-8233
Fax Number	:

Provider Business Practice Location Address
First Line	:	3530 KINGS COLLEGE PL
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-1507
Country	:	US
Telephone Number	:	718-405-6345
Fax Number	:

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

Provider Enumeration Date	:	08/25/2016
Last Update Date	:	08/25/2016

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Directions to “ KIMBERLY CHAMBERS OTR” Practice Location

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