Provider Demographics
NPI:1467419879
Name:MOTTIN, CHANEY STILIGCH (MAED, ATC, LAT)
Entity Type:Individual
Prefix:MRS
First Name:CHANEY
Middle Name:STILIGCH
Last Name:MOTTIN
Suffix:
Gender:F
Credentials:MAED, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 E JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-5022
Mailing Address - Country:US
Mailing Address - Phone:407-376-3061
Mailing Address - Fax:
Practice Address - Street 1:6100 OLEANDER DR
Practice Address - Street 2:ATTN: CMOTTIN
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807
Practice Address - Country:US
Practice Address - Phone:407-482-6300
Practice Address - Fax:407-482-6325
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL1545174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist