Provider Demographics
NPI:1588115851
Name:MUNTEFERING, CHLOE ELIZABETH (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:ELIZABETH
Last Name:MUNTEFERING
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:CHLOE
Other - Middle Name:ELIZABETH
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:4600 LOCKHILL SELMA RD
Mailing Address - Street 2:#101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2185
Mailing Address - Country:US
Mailing Address - Phone:210-233-1790
Mailing Address - Fax:
Practice Address - Street 1:17331 INTERSTATE 35 FRONTAGE ROAD
Practice Address - Street 2:#101
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-9999
Practice Address - Country:US
Practice Address - Phone:210-233-1790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117866225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist