MEDICARE: JANEEN CHUMLEY

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	10181	CA

General Provider Information

NPI Number	:	1053759449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANEEN CHUMLEY

Provider Business Mailing Address
First Line	:	2011 LITTLE ORCHARD ST
Second Line	:	APT/SUITE
City	:	SAN JOSE
State	:	CA
Zip	:	95125-1031
Country	:	US
Telephone Number	:	559-779-8907
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 LITTLE ORCHARD ST
Second Line	:	APT/SUITE
City	:	SAN JOSE
State	:	CA
Zip	:	95125-1031
Country	:	US
Telephone Number	:	559-779-8907
Fax Number	:

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

Provider Enumeration Date	:	06/07/2013
Last Update Date	:	06/07/2013

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Directions to “ JANEEN CHUMLEY ” Practice Location

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