MEDICARE: CHELSEA MARIE TRIMBLE

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	20779	FL

General Provider Information

NPI Number	:	1235750969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA MARIE TRIMBLE

Provider Business Mailing Address
First Line	:	14182 PACIFIC POINT PL APT 205
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-1895
Country	:	US
Telephone Number	:	610-906-2502
Fax Number	:

Provider Business Practice Location Address
First Line	:	21345 POWERLINE RD
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-2300
Country	:	US
Telephone Number	:	610-906-2502
Fax Number	:

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

Provider Enumeration Date	:	05/05/2020
Last Update Date	:	05/05/2020

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Directions to “ CHELSEA MARIE TRIMBLE ” Practice Location

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