# CHANTALLE RALDA ANTYPAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528516739
- **Gender:** F
- **Credential:** OTR/L, GTS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT60818103 | WA | Yes |
| 225XH1200X | Hand Occupational Therapist | OT60818103 | WA | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 09/16/2016
- **Last updated:** 10/26/2020