Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chantal C Penn

Individual provider Occupational Therapy Assistant · NPI 1790406130

Chantal C Penn is an Occupational Therapy Assistant in North Miami Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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Practice location Address checks out

21071 San Simeon Way Apt 114
North Miami Beach, FL 33179-2275
Phone: (786) 873-2372
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA15115 (FL)

Record details

NPI number1790406130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 5, 2022
Last updated in NPPESSeptember 5, 2022
Certification dateSeptember 5, 2022
Mailing address21071 San Simeon Way Apt 114, North Miami Beach, FL 33179-2275

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