Provider Demographics
NPI:1710283551
Name:CHESS, LAURA S (MED OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:S
Last Name:CHESS
Suffix:
Gender:F
Credentials:MED OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 BLEEKER AVE
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-4516
Mailing Address - Country:US
Mailing Address - Phone:914-629-3994
Mailing Address - Fax:914-698-1658
Practice Address - Street 1:711 BLEEKER AVE
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-4516
Practice Address - Country:US
Practice Address - Phone:914-629-3994
Practice Address - Fax:914-698-1658
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist