MEDICARE: CHANTAL JOHANNA OLENCZUK 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	17160	CA

General Provider Information

NPI Number	:	1508425885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANTAL JOHANNA OLENCZUK OTR/L

Provider Business Mailing Address
First Line	:	1234 E CALIFORNIA AVE APT 219
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-5053
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 N HILL AVE STE 302
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1903
Country	:	US
Telephone Number	:	818-237-5409
Fax Number	:

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

Provider Enumeration Date	:	06/10/2019
Last Update Date	:	06/10/2019

Similar Medicare Providers

1386649499 — CATHERINE EVARISTO OTRL, CHT
Practice Location Address:

50 N HILL AVE STE 302
PASADENA, CA
91106-1903

Practice Phone: 818-237-5409
Practice Fax: 818-237-5214

1194498097 — HELEN CHO
Practice Location Address:

50 N HILL AVE STE 302
PASADENA, CA
91106-1903

Practice Phone: 818-237-5409
Practice Fax:

1225987043 — SYDNEY BURKHARDT LMFT
Practice Location Address:

50 N HILL AVE STE 202
PASADENA, CA
91106-1903

Practice Phone: 213-599-8453
Practice Fax:

1407857832 — DR. DIXIE MELILLO M.D.
Practice Location Address:

3343 FAIRVIEW ST
PASADENA, TX
77504-1903

Practice Phone: 713-944-3000
Practice Fax: 713-941-4534

1871561308 — DR. MARCOS A. AQUINO MD
Practice Location Address:

3331 FAIRVIEW ST
PASADENA, TX
77504-1903

Practice Phone: 713-943-1640
Practice Fax: 713-943-8639

1588715494 — DR. HOWARD ROBERT BERNSTEIN M.D.
Practice Location Address:

3339 FAIRVIEW ST
PASADENA, TX
77504-1903

Practice Phone: 713-461-2915
Practice Fax: 713-461-5307

Directions to “ CHANTAL JOHANNA OLENCZUK OTR/L” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.