Individual
EL' MALIK CHINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1479 GROVE PARK DR, COLUMBUS, GA 31904-1585
(706) 530-9409
Mailing address
8 CAEN DR, FORT MITCHELL, AL 36856-3416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4643
AL
225X00000X
Occupational Therapist
Primary
OT007474
GA
Other
Enumeration date
03/01/2018
Last updated
10/08/2020
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