Healthcare Provider Details

I. General information

NPI: 1700708518
Provider Name (Legal Business Name): CHELSEA GRACE KING OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA WAREHAM

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 37TH ST
VERO BEACH FL
32960-4863
US

IV. Provider business mailing address

1600 37TH ST
VERO BEACH FL
32960-4863
US

V. Phone/Fax

Practice location:
  • Phone: 772-778-2100
  • Fax:
Mailing address:
  • Phone: 772-778-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number25732
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: