Provider Demographics
NPI:1215576103
Name:WARNER, CHANTE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:CHANTE
Middle Name:
Last Name:WARNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 W SMITHFIELD TER
Mailing Address - Street 2:
Mailing Address - City:DOLOMITE
Mailing Address - State:AL
Mailing Address - Zip Code:35061-1009
Mailing Address - Country:US
Mailing Address - Phone:205-541-9075
Mailing Address - Fax:
Practice Address - Street 1:4800 FILLMORE AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-5070
Practice Address - Country:US
Practice Address - Phone:703-824-1233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics