Provider Demographics
NPI:1982173480
Name:CHIN, ASHLEY MORGAN (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:MORGAN
Last Name:CHIN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2252 79TH ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-2104
Mailing Address - Country:US
Mailing Address - Phone:347-225-2127
Mailing Address - Fax:
Practice Address - Street 1:2252 79TH ST APT 1A
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-2104
Practice Address - Country:US
Practice Address - Phone:347-225-2127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022454-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist