Kenneth Wade Wilson in Ridgeland - Occupational Therapy Assistant
Kenneth Wade Wilson - NPI 1205980141
Kenneth Wade Wilson is a Occupational Therapy Assistant in Ridgeland, Mississippi. Kenneth Wade Wilson practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Kenneth Wade Wilson is 1205980141. The last update date is 2007-07-08.
Kenneth Wade Wilson's current location address is 711 Avignon Dr, Ridgeland, Mississippi. You can contact this provider via phone number 6016056777 and fax number 6016058869. The mailing address for Kenneth Wade Wilson is 711 Avignon Dr, Ridgeland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Wade Wilson |
|---|---|
| Address | 711 Avignon Dr, Ridgeland, Mississippi |
| Phone Number | 6016056777 |
| Fax Number | 6016058869 |
| Sole Proprietor | Y |
| Credentials | COTA-L |
NPI Number Detail
| NPI Number | 1205980141 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 711 Avignon Dr |
|---|---|
| City | Ridgeland |
| State | Mississippi (MS) |
| Post Code | 391575120 |
| Phone Number | 6016056777 |
| Fax Number | 6016058869 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | TA1911 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth Wade Wilson by the Centers for Medicare & Medicaid Services?
The Kenneth Wade Wilson has been assigned the NPI (National Provider Identifier) 1205980141 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kenneth Wade Wilson is physically located?
The Kenneth Wade Wilson is physically situated at the following address: 711 Avignon Dr, Ridgeland, MS, 391575120.
What is Kenneth Wade Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth Wade Wilson is Occupational Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 224Z00000X.
When did Kenneth Wade Wilson receive its 1205980141 assignment?
The Kenneth Wade Wilson was assigned its 1205980141 on 2007-01-22, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kenneth Wade Wilson most recently updated?
The details pertaining to the Kenneth Wade Wilson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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