Provider Demographics
NPI:1124658646
Name:WHITAKER, CHELSEA (COTA/L)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:WHITAKER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8199 WELBY RD APT 4003
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-5656
Mailing Address - Country:US
Mailing Address - Phone:817-253-9684
Mailing Address - Fax:
Practice Address - Street 1:8199 WELBY RD APT 4003
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-5656
Practice Address - Country:US
Practice Address - Phone:817-253-9684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant