Provider Demographics
NPI:1306739347
Name:ESQUBEL, CHELSY DANA (COTA/L)
Entity type:Individual
Prefix:
First Name:CHELSY
Middle Name:DANA
Last Name:ESQUBEL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:CHELSY
Other - Middle Name:DANA
Other - Last Name:EGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:4315 E WEHRLE CT
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-3031
Mailing Address - Country:US
Mailing Address - Phone:714-397-6473
Mailing Address - Fax:
Practice Address - Street 1:4315 E WEHRLE CT
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3031
Practice Address - Country:US
Practice Address - Phone:714-397-6473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4114224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant