Healthcare Provider Details

I. General information

NPI: 1144638297
Provider Name (Legal Business Name): CHLOE WILLIAMS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W SANTA ANA BLVD SUITE 100
SANTA ANA CA
92701-4134
US

IV. Provider business mailing address

6071 E MARITA ST
LONG BEACH CA
90815-4516
US

V. Phone/Fax

Practice location:
  • Phone: 714-347-0323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number12065
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: