Tina Lee Bullis in Jacksonville - Occupational Therapy Assistant
Tina Lee Bullis - NPI 1700056165
Tina Lee Bullis is a Occupational Therapy Assistant in Jacksonville, Florida. Tina Lee Bullis practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Tina Lee Bullis is 1700056165. The last update date is 2008-03-01.
Tina Lee Bullis's current location address is 14598 Berringer Ln, Jacksonville, Florida. You can contact this provider via phone number 3523590893. The mailing address for Tina Lee Bullis is 14598 Berringer Ln, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Lee Bullis |
|---|---|
| Address | 14598 Berringer Ln, Jacksonville, Florida |
| Phone Number | 3523590893 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1700056165 |
|---|---|
| Provider Enumeration Date | 2008-03-01 |
| Last Updated Date | 2008-03-01 |
Provider Mailing Address Detail
| Address | 14598 Berringer Ln |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322584482 |
| Phone Number | 3523590893 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | OTA 9384 |
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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 identifier code issued to Tina Lee Bullis by the Centers for Medicare & Medicaid Services?
The Tina Lee Bullis has been assigned the NPI (National Provider Identifier) 1700056165 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tina Lee Bullis's facilities are geographically located?
The facilities of Tina Lee Bullis are physically situated at the following location: 14598 Berringer Ln, Jacksonville, FL, 322584482.
What is Tina Lee Bullis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tina Lee Bullis's area of specialization is Occupational Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 224Z00000X.
On what date did the Tina Lee Bullis receive its 1700056165 assignment from the Centers for Medicare & Medicaid Services?
The Tina Lee Bullis was assigned its 1700056165 by the Centers for Medicare & Medicaid Services on 2008-03-01.
When was the information regarding Tina Lee Bullis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tina Lee Bullis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-01.