Dawn Michelle Wallace in Madison - Occupational Therapy Assistant
Dawn Michelle Wallace - NPI 1861679060
Dawn Michelle Wallace is a Occupational Therapy Assistant in Madison, Alabama. Dawn Michelle Wallace practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Dawn Michelle Wallace is 1861679060. The last update date is 2010-11-30.
Dawn Michelle Wallace's current location address is 97 Hughes Rd Ste H, Madison, Alabama. You can contact this provider via phone number 2568837338. The mailing address for Dawn Michelle Wallace is 97 Hughes Rd Ste H, Madison, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dawn Michelle Wallace |
|---|---|
| Address | 97 Hughes Rd Ste H, Madison, Alabama |
| Phone Number | 2568837338 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA/L |
NPI Number Detail
| NPI Number | 1861679060 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2010-11-30 |
Provider Mailing Address Detail
| Address | 97 Hughes Rd Ste H |
|---|---|
| City | Madison |
| State | Alabama (AL) |
| Post Code | 357583401 |
| Phone Number | 2568837338 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 754 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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What is the unique 10-digit identification code assigned to Dawn Michelle Wallace by the Centers for Medicare & Medicaid Services?
The Dawn Michelle Wallace has been issued the NPI (National Provider Identifier) 1861679060, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Dawn Michelle Wallace's facilities are geographically located?
The facilities of Dawn Michelle Wallace are physically situated at the following location: 97 Hughes Rd Ste H, Madison, AL, 357583401.
What is the Dawn Michelle Wallace's area of specialization and corresponding taxonomy classification?
The Dawn Michelle Wallace's specialty field is Occupational Therapy Assistant, and it falls under the taxonomy code 224Z00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861679060 to Dawn Michelle Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1861679060 to Dawn Michelle Wallace on 2008-01-30.
When was the information related to Dawn Michelle Wallace most recently updated or refreshed?
The details pertaining to the Dawn Michelle Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-11-30.
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