Healthcare Provider Details

I. General information

NPI: 1205891777
Provider Name (Legal Business Name): CHRISTOPHER P CHAPRNKA OTRL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1232 W INDIANTOWN RD STE 101
JUPITER FL
33458-3905
US

IV. Provider business mailing address

1232 W INDIANTOWN RD STE 101
JUPITER FL
33458-3905
US

V. Phone/Fax

Practice location:
  • Phone: 561-575-4770
  • Fax: 561-575-4522
Mailing address:
  • Phone: 561-575-4770
  • Fax: 561-575-4522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT1604
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: