Provider Demographics
NPI:1770462400
Name:CHALELA, YULIET (COTA)
Entity type:Individual
Prefix:
First Name:YULIET
Middle Name:
Last Name:CHALELA
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9912 MERE PKWY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6207
Mailing Address - Country:US
Mailing Address - Phone:407-797-3710
Mailing Address - Fax:
Practice Address - Street 1:9912 MERE PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6207
Practice Address - Country:US
Practice Address - Phone:407-797-3710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant