Gayle Joleen Fothergill in Coeur D Alene - Occupational Therapy Assistant
Gayle Joleen Fothergill - NPI 1184882680
Gayle Joleen Fothergill is a Occupational Therapy Assistant in Coeur D Alene, Idaho. Gayle Joleen Fothergill practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Gayle Joleen Fothergill is 1184882680. The last update date is 2008-05-30.
Gayle Joleen Fothergill's current location address is 500 W Aqua Ave, Coeur D Alene, Idaho. You can contact this provider via phone number 2087621122 and fax number 2087621680. The mailing address for Gayle Joleen Fothergill is 500 W Aqua Ave, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gayle Joleen Fothergill |
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Address | 500 W Aqua Ave, Coeur D Alene, Idaho |
Phone Number | 2087621122 |
Fax Number | 2087621680 |
Sole Proprietor | N |
Credentials | COTA/L |
NPI Number Detail
NPI Number | 1184882680 |
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Provider Enumeration Date | 2008-05-30 |
Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
Address | 500 W Aqua Ave |
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City | Coeur D Alene |
State | Idaho (ID) |
Post Code | 838157764 |
Phone Number | 2087621122 |
Fax Number | 2087621680 |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapy Assistant |
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Taxonomy | 224Z00000X |
Licence No | OTA-009 |
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 identification code assigned to Gayle Joleen Fothergill by the Centers for Medicare & Medicaid Services?
The Gayle Joleen Fothergill has been issued the NPI (National Provider Identifier) 1184882680. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gayle Joleen Fothergill's physical address?
The Gayle Joleen Fothergill is physically located at 500 W Aqua Ave, in the city of Coeur D Alene, ID, with the postal code 838157764.
What is Gayle Joleen Fothergill's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gayle Joleen Fothergill is Occupational Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 224Z00000X.
When was the Gayle Joleen Fothergill's 1184882680 issued?
The Gayle Joleen Fothergill's 1184882680 was issued on 2008-05-30.
When was the information pertaining to Gayle Joleen Fothergill most recently updated or revised?
The details related to Gayle Joleen Fothergill, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-30.