Provider Demographics
NPI:1841806486
Name:HATCHER, CHELSEA QUINN (COTA)
Entity Type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:QUINN
Last Name:HATCHER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3023
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29648-3023
Mailing Address - Country:US
Mailing Address - Phone:864-229-7529
Mailing Address - Fax:864-229-7530
Practice Address - Street 1:104 MAXWELL AVE STE 312
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-2641
Practice Address - Country:US
Practice Address - Phone:864-229-7529
Practice Address - Fax:864-229-7530
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-18
Last Update Date:2020-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5172224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant