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NPI Code Detail

MEDICARE: PATRICIA ANN CHANEY

MEDICARE: PATRICIA ANN CHANEY
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
1224Z00000XOccupational Therapy Assistant0131002509VA

General Provider Information

NPI Number : 1467308502
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN CHANEY
Provider Business Mailing Address
First Line : 311 MAGNOLIA ST
Second Line :
City : NICEVILLE
State : FL
Zip : 32578-8147
Country : US
Telephone Number : 501-529-9466
Fax Number :
Provider Business Practice Location Address
First Line : 1000 MAR WALT DR
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32547-6708
Country : US
Telephone Number : 850-862-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ PATRICIA ANN CHANEY ” Practice Location

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