Breenda Petropoulos in Jacksonville - Occupational Therapy Assistant
Breenda Petropoulos - NPI 1588868111
Breenda Petropoulos is a Occupational Therapy Assistant in Jacksonville, Florida. Breenda Petropoulos practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Breenda Petropoulos is 1588868111. The last update date is 2007-07-08.
Breenda Petropoulos's current location address is 1422 San Marco Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043984133. The mailing address for Breenda Petropoulos is 1422 San Marco Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Breenda Petropoulos |
|---|---|
| Address | 1422 San Marco Blvd, Jacksonville, Florida |
| Phone Number | 9043984133 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1588868111 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1422 San Marco Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078536 |
| Phone Number | 9043984133 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | OTA10116 |
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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 Breenda Petropoulos by the Centers for Medicare & Medicaid Services?
The Breenda Petropoulos has been issued the NPI (National Provider Identifier) 1588868111, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Breenda Petropoulos?
The Breenda Petropoulos is physically situated at 1422 San Marco Blvd, in the city of Jacksonville, state of FL, with the postal code 322078536.
What is Breenda Petropoulos's area of expertise and its corresponding taxonomy classification?
The Breenda Petropoulos's field of specialization is Occupational Therapy Assistant, and it falls under the taxonomy code 224Z00000X, which categorizes healthcare providers based on their areas of practice.
When did the Breenda Petropoulos receive its 1588868111?
The Breenda Petropoulos was issued its 1588868111 on 2007-06-14, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Breenda Petropoulos most recently updated or revised?
The details related to Breenda Petropoulos, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.