Provider Demographics
NPI:1952632044
Name:FINKBEINER, CHELSEA (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:
Last Name:FINKBEINER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25451 COLLIGAN ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:IL
Mailing Address - Zip Code:60442-1418
Mailing Address - Country:US
Mailing Address - Phone:708-203-8547
Mailing Address - Fax:
Practice Address - Street 1:25451 COLLIGAN ST
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:IL
Practice Address - Zip Code:60442-1418
Practice Address - Country:US
Practice Address - Phone:708-203-8547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL057.003040224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant