Provider Demographics
NPI:1710213863
Name:CHAMBERLIN, NANCY VALERIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:VALERIE
Last Name:CHAMBERLIN
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 1:1002 LIVE OAK BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4028
Mailing Address - Country:US
Mailing Address - Phone:530-673-2100
Mailing Address - Fax:530-674-2414
Practice Address - Street 1:1002 LIVE OAK BLVD STE D
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4028
Practice Address - Country:US
Practice Address - Phone:530-673-2100
Practice Address - Fax:530-674-2414
Is Sole Proprietor?:No
Enumeration Date:2009-10-25
Last Update Date:2009-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA3733225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist