| Chris Chanthabandith, OTR/L | |
|
17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 | |
| (480) 837-4565 | |
| Not Available |
| Full Name | Chris Chanthabandith |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 17100 E Shea Blvd Ste 600, Fountain Hills, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104407915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTH-008389 (Arizona) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336770221 PECOS PAC ID: 2163339722 Enrollment ID: O20200305001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Chanthabandith, OTR/L 11825 N 25th Pl Apt 301, Phoenix, AZ 85028-6500 Ph: (616) 635-9722 | Chris Chanthabandith, OTR/L 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 Ph: (480) 837-4565 |
Brian Paulsen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15215 E Palisades Blvd, Fountain Hills, AZ 85268 Phone: 480-221-2573 | |
Mr. William Charles High, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16000 E Palisades Blvd, Fountain Hills, AZ 85268 Phone: 480-664-5018 | |
Lori Borowitz, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15410 E Acacia Way, Fountain Hills, AZ 85268 Phone: 513-260-5751 | |
Sarah Starkey, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17100 E Shea Blvd, 225, Fountain Hills, AZ 85268 Phone: 480-837-4565 | |
Katlyn Tavarres, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268 Phone: 480-837-4565 | |
Madison Anne Brodeur, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16300 E Keith Mcmahan Dr, Fountain Hills, AZ 85268 Phone: 480-836-4800 |