Provider Demographics
NPI:1477982858
Name:CHANLEY, DEBORAH JANELLE (COTA)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JANELLE
Last Name:CHANLEY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1861 21ST AVE SE
Mailing Address - Street 2:APT 115
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97322-5784
Mailing Address - Country:US
Mailing Address - Phone:254-913-1883
Mailing Address - Fax:
Practice Address - Street 1:1861 21ST AVE SE
Practice Address - Street 2:APT 115
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-5784
Practice Address - Country:US
Practice Address - Phone:254-913-1883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant