Individual
ELLEN CHAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
346 AMITYVILLE ST, ISLIP TERRACE, NY 11752-1419
(631) 650-7896
Mailing address
346 AMITYVILLE ST, ISLIP TERRACE, NY 11752-1419
(631) 650-7896
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000762-1
NY
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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