Provider Demographics
NPI:1932499910
Name:BLATTER, CHELSEY LYNETTE (MOT OTR/L)
Entity Type:Individual
Prefix:MS
First Name:CHELSEY
Middle Name:LYNETTE
Last Name:BLATTER
Suffix:
Gender:F
Credentials:MOT OTR/L
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Other - First Name:
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Mailing Address - Street 1:402 8TH AVENUE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118
Mailing Address - Country:US
Mailing Address - Phone:415-831-4263
Mailing Address - Fax:415-831-4269
Practice Address - Street 1:402 8TH AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3055
Practice Address - Country:US
Practice Address - Phone:415-831-4263
Practice Address - Fax:415-831-4269
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAOT11793225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist