Provider Demographics
NPI:1700289683
Name:MAJEWSKI, CHASE (OTR/L)
Entity type:Individual
Prefix:
First Name:CHASE
Middle Name:
Last Name:MAJEWSKI
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 EDGEHILL RD
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-6203
Mailing Address - Country:US
Mailing Address - Phone:440-749-2427
Mailing Address - Fax:
Practice Address - Street 1:8801 EDGEHILL RD
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-6203
Practice Address - Country:US
Practice Address - Phone:440-749-2427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH008399225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist