Provider Demographics
NPI:1922177344
Name:CHAMBERS, CHRISTINE ANDREA (OTR)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ANDREA
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:ANDREA
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:3301 WOOSTER RD STE 1
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-4181
Mailing Address - Country:US
Mailing Address - Phone:440-333-1880
Mailing Address - Fax:440-333-1834
Practice Address - Street 1:3301 WOOSTER RD STE 1
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-4181
Practice Address - Country:US
Practice Address - Phone:440-333-1880
Practice Address - Fax:440-333-1834
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT002542225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist