National Provider Identifier

Carlene L Chilson, MS

Carlene L Chilson, MS is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Penn Yan, NY and a listed phone number of (315) 536-2601.

NPI 1639457294Penn Yan, NYPediatric Occupational Therapist

Profile Overview

NPI
1639457294
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
August 01, 2011
Last Updated
August 01, 2011

Practice Location

  • 270 Lake St
  • Penn Yan, NY 14527-1832

Phone: (315) 536-2601

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1639457294
Entity Type
Individual
Last Name
Chilson
First Name
Carlene
Middle Name
L
Credential
MS
Provider Other Last Name
Chilson
Provider Other First Name
Carlie
Provider Other Middle Name
L
Provider Other Credential Text
MS
Provider Other Last Name Type Code
5
Mailing Street Address
270 Lake St
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-1832
Mailing Country
US
Mailing Phone
(315) 536-2601
Mailing Fax
(315) 536-1171
Practice Street Address
270 Lake St
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-1832
Practice Country
US
Practice Phone
(315) 536-2601
Practice Fax
(315) 536-1171
Enumeration Date
August 01, 2011
Last Updated
August 01, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)
Other Identifiers
225X00000X (NY, Occuaptional Therapy)