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Chantalle Ralda Antypas, OTR/L, GTS

Occupational Therapist in Silver Spring, MD. Individual provider (NPI-1).

NPI number1528516739
StatusActive
Last updated in NPPESOct 26, 2020

Details

NPI
1528516739
Entity type
Individual (NPI-1)
Name
Chantalle Ralda Antypas
Credential
OTR/L, GTS
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 16, 2016
Certification date
Oct 26, 2020
Last updated
Oct 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT60818103WAYes
225XH1200X Occupational Therapist, HandOT60818103WA
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1150 Ripley St
Apt 205
Silver Spring, MD 20910-3475

Phone 818-398-6720

Mailing address

1351 Fowler St
Richland, WA 99352-4714

Phone 509-946-1654 · Fax 509-943-5652

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