Provider Demographics
NPI:1760998645
Name:CHIZEK, CELESTE ABELLANOSA (OTR/L HANDS/PAM)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:ABELLANOSA
Last Name:CHIZEK
Suffix:
Gender:F
Credentials:OTR/L HANDS/PAM
Other - Prefix:
Other - First Name:CELESTE
Other - Middle Name:A
Other - Last Name:ABELLANOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:10470 OLD PLACERVILLE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:
Practice Address - Street 1:420 B ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5070
Practice Address - Country:US
Practice Address - Phone:530-674-8850
Practice Address - Fax:530-674-8855
Is Sole Proprietor?:No
Enumeration Date:2017-12-14
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1161225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand