Gustavia C Davis in New Iberia - Occupational Therapy Assistant
Gustavia C Davis - NPI 1205057049
Gustavia C Davis is a Occupational Therapy Assistant in New Iberia, Louisiana. Gustavia C Davis practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Gustavia C Davis is 1205057049. The last update date is 2013-02-13.
Gustavia C Davis's current location address is 1306 W Admiral Doyle Dr, New Iberia, Louisiana. You can contact this provider via phone number 3373645472. The mailing address for Gustavia C Davis is 1306 W Admiral Doyle Dr, New Iberia, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gustavia C Davis |
|---|---|
| Address | 1306 W Admiral Doyle Dr, New Iberia, Louisiana |
| Phone Number | 3373645472 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCOTA |
NPI Number Detail
| NPI Number | 1205057049 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2013-02-13 |
Provider Mailing Address Detail
| Address | 1306 W Admiral Doyle Dr |
|---|---|
| City | New Iberia |
| State | Louisiana (LA) |
| Post Code | 705608552 |
| Phone Number | 3373645472 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | OTA.Z20612 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22 | LA | LCOTA |
Post Comment/ Review Below
What is the unique identifier code issued to Gustavia C Davis by the Centers for Medicare & Medicaid Services (CMS)?
The Gustavia C Davis has been assigned the NPI (National Provider Identifier) 1205057049. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Gustavia C Davis's facilities are geographically located?
The facilities of Gustavia C Davis are physically situated at the following location: 1306 W Admiral Doyle Dr, New Iberia, LA, 705608552.
What is the Gustavia C Davis's specialty and taxonomy code?
The Gustavia C Davis's specialty is Occupational Therapy Assistant, and the corresponding taxonomy code is 224Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205057049 to Gustavia C Davis?
The Centers for Medicare & Medicaid Services assigned the 1205057049 to Gustavia C Davis on 2007-05-01.
As of what date were the Gustavia C Davis's details last updated?
The information pertaining to the Gustavia C Davis, including its address, specialty, and other details, was most recently updated on 2013-02-13.