Provider Demographics
NPI:1184888331
Name:CHEN, DAISY (MA, OTR/L, SWC, CLEC)
Entity type:Individual
Prefix:MS
First Name:DAISY
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MA, OTR/L, SWC, CLEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 N CATALINA AVE APT 203
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1047
Mailing Address - Country:US
Mailing Address - Phone:626-627-0560
Mailing Address - Fax:
Practice Address - Street 1:449 N CATALINA AVE APT 203
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1047
Practice Address - Country:US
Practice Address - Phone:626-627-0560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 7149225XF0002X, 225XL0004X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing
No225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision