MEDICARE: MS. ANGELA MARIE CHENIER 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
1	225X00000X	Occupational Therapist	1042	MT

General Provider Information

NPI Number	:	1457510745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELA MARIE CHENIER OTR/L

Provider Business Mailing Address
First Line	:	PO BOX 6514
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59771-6514
Country	:	US
Telephone Number	:	406-548-7436
Fax Number	:

Provider Business Practice Location Address
First Line	:	1940 W DICKERSON ST STE 102
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-6851
Country	:	US
Telephone Number	:	406-555-5555
Fax Number	:

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

Provider Enumeration Date	:	06/03/2008
Last Update Date	:	12/07/2022

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