Candice Leah Wietholder in Macomb - Occupational Therapy Assistant
Candice Leah Wietholder - NPI 1902072556
Candice Leah Wietholder is a Occupational Therapy Assistant in Macomb, Illinois. Candice Leah Wietholder practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Candice Leah Wietholder is 1902072556. The last update date is 2008-05-05.
Candice Leah Wietholder's current location address is 8 Doctors Lane, Macomb, Illinois. You can contact this provider via phone number 3098335555 and fax number 3098362390. The mailing address for Candice Leah Wietholder is 8 Doctors Lane, Macomb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice Leah Wietholder |
|---|---|
| Address | 8 Doctors Lane, Macomb, Illinois |
| Phone Number | 3098335555 |
| Fax Number | 3098362390 |
| Sole Proprietor | Y |
| Credentials | COTA/L |
NPI Number Detail
| NPI Number | 1902072556 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2008-05-05 |
Provider Mailing Address Detail
| Address | 8 Doctors Lane |
|---|---|
| City | Macomb |
| State | Illinois (IL) |
| Post Code | 61455 |
| Phone Number | 3098335555 |
| Fax Number | 3098362390 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 57002361 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Candice Leah Wietholder by the Centers for Medicare & Medicaid Services (CMS)?
The Candice Leah Wietholder has been assigned the NPI (National Provider Identifier) 1902072556. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Candice Leah Wietholder is geographically located?
The Candice Leah Wietholder is physically situated at the following location: 8 Doctors Lane, Macomb, IL, 61455.
What is Candice Leah Wietholder's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Candice Leah Wietholder is Occupational Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 224Z00000X.
On what date did the Candice Leah Wietholder receive its 1902072556 assignment from the Centers for Medicare & Medicaid Services?
The Candice Leah Wietholder was assigned its 1902072556 by the Centers for Medicare & Medicaid Services on 2008-05-05.
When was the information regarding Candice Leah Wietholder, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Candice Leah Wietholder, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-05.