Provider Demographics
NPI:1699105940
Name:CHAPMAN, MAUREEN PATRICIA (OCCUPATIONAL THERAPI)
Entity type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:PATRICIA
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:MISS
Other - First Name:MAUREEN
Other - Middle Name:PATRICIA
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OCCUPATIONAL THERAPI
Mailing Address - Street 1:3761 CAPE LANDING CIR
Mailing Address - Street 2:APT P
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-1101
Mailing Address - Country:US
Mailing Address - Phone:413-588-8547
Mailing Address - Fax:
Practice Address - Street 1:3761 CAPE LANDING CIR
Practice Address - Street 2:APT P
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-1101
Practice Address - Country:US
Practice Address - Phone:413-588-8547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-23
Last Update Date:2013-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3580225X00000X, 225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation