Provider Demographics
NPI:1376120980
Name:GUILLORY, CHLOE ALEENA (OTR)
Entity Type:Individual
Prefix:MS
First Name:CHLOE
Middle Name:ALEENA
Last Name:GUILLORY
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 1:6904 NORMAN ROCKWELL LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-4897
Mailing Address - Country:US
Mailing Address - Phone:281-794-1858
Mailing Address - Fax:
Practice Address - Street 1:6904 NORMAN ROCKWELL LN
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4897
Practice Address - Country:US
Practice Address - Phone:281-794-1858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121525225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist