Provider Demographics
NPI:1033633821
Name:CHIN, ANGELINE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:ANGELINE
Middle Name:
Last Name:CHIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6129 BRADFORD LN
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-1864
Mailing Address - Country:US
Mailing Address - Phone:281-543-5310
Mailing Address - Fax:
Practice Address - Street 1:304 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-4333
Practice Address - Country:US
Practice Address - Phone:281-534-6755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics