Provider Demographics
NPI:1922177344
Name:CHAMBERS, CHRISTINE ANDREA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ANDREA
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:ANDREA
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:22647 VINE CT
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3768
Mailing Address - Country:US
Mailing Address - Phone:440-331-4195
Mailing Address - Fax:
Practice Address - Street 1:20800 WESTGATE MALL
Practice Address - Street 2:SUITE 500
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-1323
Practice Address - Country:US
Practice Address - Phone:440-333-1880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT002542225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics