Provider Demographics
NPI:1518351162
Name:CHOMA, ROBERTA ANN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ROBERTA
Middle Name:ANN
Last Name:CHOMA
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 1:6006 W CHIPPEWA CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-9050
Mailing Address - Country:US
Mailing Address - Phone:509-467-7269
Mailing Address - Fax:
Practice Address - Street 1:1110 E WESTVIEW CT
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1326
Practice Address - Country:US
Practice Address - Phone:509-465-8440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-21
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00000198225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist