NPI 1104407915

Chris Chanthabandith, OTRL

Practitioner Occupational Therapist Fountain Hills, AZ

Practice location

Address: 17100 E Shea Blvd STE 600, Fountain Hills, AZ 85268-6663
Phone: (480) 837-4565
Mailing address: 11825 N 25th Pl APT 301, Phoenix, AZ 85028-6500

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OTH-008389 (AZ)

Other Occupational Therapist providers in Arizona →

Registry record

NPI: 1104407915
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2021
Record last updated: 22 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.