Individual
CHANTELLE ELIZABETH COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1640 MARENGO ST, SUITE 500, LOS ANGELES, CA 90033-1036
(323) 442-3340
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-3340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10385
CA
Other
Enumeration date
05/01/2009
Last updated
11/04/2020
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