Provider Demographics
NPI:1326652280
Name:SENDALL, CHANTAL (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:CHANTAL
Middle Name:
Last Name:SENDALL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4377 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14305-1102
Mailing Address - Country:US
Mailing Address - Phone:716-445-4473
Mailing Address - Fax:
Practice Address - Street 1:4377 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-1102
Practice Address - Country:US
Practice Address - Phone:716-445-4473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010277-01224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant