Provider Demographics
NPI:1023275435
Name:HELENTHAL, CHRISTOPHER MARK (OTR/L)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MARK
Last Name:HELENTHAL
Suffix:
Gender:M
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 1:6508 WHITE BLOSSOM CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-8420
Mailing Address - Country:US
Mailing Address - Phone:904-379-6244
Mailing Address - Fax:888-543-5577
Practice Address - Street 1:3599 UNIVERSITY BLVD SOUTH
Practice Address - Street 2:BROOKS HEALTH CARE
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216
Practice Address - Country:US
Practice Address - Phone:904-858-7031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10385225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist