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NPI Code Detail

MEDICARE: CHANDLER CHRISTINE MARIE CHILDS OTR/L

MEDICARE: CHANDLER CHRISTINE MARIE CHILDS OTR/L
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
1225X00000XOccupational Therapist61029693WA

General Provider Information

NPI Number : 1164174082
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDLER CHRISTINE MARIE CHILDS OTR/L
Provider Business Mailing Address
First Line : 1156 S CEDAR PL
Second Line :
City : KENNEWICK
State : WA
Zip : 99337-5315
Country : US
Telephone Number : 509-592-3511
Fax Number :
Provider Business Practice Location Address
First Line : 1000 W 4TH AVE
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-5533
Country : US
Telephone Number : 509-222-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2022
Last Update Date : 01/21/2022

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Directions to “ CHANDLER CHRISTINE MARIE CHILDS OTR/L” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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