Letracia Streater-Chisolm, COTA

NPI 1841729662 · on the registry since 2017

Practice

Address: 1215 Kingsley Ave
Orange Park, FL 32073
Phone: (904) 269-8922
Fax: (904) 375-0719
Organisation at this address: 1215 Kingsley Ave Opco Llc
Ambassador Rehabilitative Services
Orange Park Facility Operations Llc
Tandem Health Care Of Orange Park, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida