Individual
CHANTALLE RALDA ANTYPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, GTS
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60818103
WA
225XH1200X
Hand Occupational Therapist
OT60818103
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2016
Last updated
10/26/2020
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