Individual provider · Type 1 NPI

Lee Anne Krystle Rico Chan, OTR/L

Occupational Therapist · Berlin, MD

NPI number 1104472729 Active

Practice location

9715 Healthway Dr
Berlin, MD 21811-3500

Call (410) 641-4400 Map

Mailing address

9892 Shore Break Ln Apt 105
Berlin, MD 21811-2971

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XOC013811 (PA)
Occupational Therapist 225X00000XU1-0001898 (DE)
Occupational Therapist Primary 225X00000X08263 (MD)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1104472729

Lee Anne Krystle Rico Chan, OTR/L's National Provider Identifier is 1104472729, issued on Aug 11, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Berlin, MD. The record was last updated on Aug 11, 2019.