Healthcare Provider Details

I. General information

NPI: 1225709058
Provider Name (Legal Business Name): ELENA CHBEIR OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 07/15/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 KERSEY WAY SE
AUBURN WA
98092-5045
US

IV. Provider business mailing address

4446 39TH AVE SW
SEATTLE WA
98116-4208
US

V. Phone/Fax

Practice location:
  • Phone: 253-931-4959
  • Fax:
Mailing address:
  • Phone: 216-469-1493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT61176425
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT61176425
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: