Provider Demographics
NPI:1780874685
Name:CHATLAIN, MADELINE (OTR/L)
Entity type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:
Last Name:CHATLAIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 PLANTATION PARK DR
Mailing Address - Street 2:SUITE 502
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-9001
Mailing Address - Country:US
Mailing Address - Phone:843-757-9292
Mailing Address - Fax:843-757-9294
Practice Address - Street 1:29 PLANTATION PARK DR
Practice Address - Street 2:SUITE 502
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9001
Practice Address - Country:US
Practice Address - Phone:843-757-9292
Practice Address - Fax:843-757-9294
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3298225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist