Provider Demographics
NPI:1740433168
Name:CHAMBERS, JUDY ANN (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:ANN
Last Name:CHAMBERS
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 1:702 S 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:KELSO
Mailing Address - State:WA
Mailing Address - Zip Code:98626-2531
Mailing Address - Country:US
Mailing Address - Phone:360-957-5255
Mailing Address - Fax:
Practice Address - Street 1:702 S 6TH AVE
Practice Address - Street 2:
Practice Address - City:KELSO
Practice Address - State:WA
Practice Address - Zip Code:98626-2531
Practice Address - Country:US
Practice Address - Phone:360-957-5255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00004372225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist