Provider Demographics
NPI:1619177466
Name:CHAMBERS, DANIA (PTA)
Entity Type:Individual
Prefix:MISS
First Name:DANIA
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 WILCOCK ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-2724
Mailing Address - Country:US
Mailing Address - Phone:718-644-8397
Mailing Address - Fax:617-297-5664
Practice Address - Street 1:44 WILCOCK ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER CENTER
Practice Address - State:MA
Practice Address - Zip Code:02124-2724
Practice Address - Country:US
Practice Address - Phone:718-644-8397
Practice Address - Fax:617-297-5664
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor