Provider Demographics
NPI:1881884708
Name:CHAPPELL, LINDSEY PRITCHARD (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:PRITCHARD
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:ELIZABETH
Other - Last Name:PRITCHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:121 GATEWAY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-5400
Mailing Address - Country:US
Mailing Address - Phone:843-503-4102
Mailing Address - Fax:
Practice Address - Street 1:121 GATEWAY RD.
Practice Address - Street 2:SUITE B
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29526
Practice Address - Country:US
Practice Address - Phone:843-503-4102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3924225X00000X
NC5388174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No174400000XOther Service ProvidersSpecialist