Sandra Jean Fark in Murphysboro - Developmental Therapist
Sandra Jean Fark - NPI 1487879409
Sandra Jean Fark is a Developmental Therapist in Murphysboro, Illinois. Sandra Jean Fark practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Sandra Jean Fark is 1487879409. The last update date is 2007-07-08.
Sandra Jean Fark's current location address is 1 Scenic View Ln, Murphysboro, Illinois. You can contact this provider via phone number 6186872160. The mailing address for Sandra Jean Fark is 1 Scenic View Ln, Murphysboro, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Jean Fark |
|---|---|
| Address | 1 Scenic View Ln, Murphysboro, Illinois |
| Phone Number | 6186872160 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1487879409 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Scenic View Ln |
|---|---|
| City | Murphysboro |
| State | Illinois (IL) |
| Post Code | 629664755 |
| Phone Number | 6186872160 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Sandra Jean Fark?
The Sandra Jean Fark has been issued the NPI (National Provider Identifier) 1487879409 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Sandra Jean Fark's facilities are situated?
The facilities of Sandra Jean Fark are physically located at the following address: 1 Scenic View Ln, Murphysboro, IL, 629664755.
What is the Sandra Jean Fark's specialty and taxonomy code?
The Sandra Jean Fark's specialty is Developmental Therapist, and the corresponding taxonomy code is 222Q00000X.
On what date did the Sandra Jean Fark receive its 1487879409 assignment from the Centers for Medicare & Medicaid Services?
The Sandra Jean Fark was assigned its 1487879409 by the Centers for Medicare & Medicaid Services on 2007-04-16.
When was the information pertaining to Sandra Jean Fark most recently updated or revised?
The details related to Sandra Jean Fark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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