Dorothy Alice Hernandez in Saint Joseph - Occupational Therapy Assistant
Dorothy Alice Hernandez - NPI 1104045608
Dorothy Alice Hernandez is a Occupational Therapy Assistant in Saint Joseph, Missouri. Dorothy Alice Hernandez practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Dorothy Alice Hernandez is 1104045608. The last update date is 2007-07-08.
Dorothy Alice Hernandez's current location address is 1202 Heartland Rd, Saint Joseph, Missouri. You can contact this provider via phone number 8166718506. The mailing address for Dorothy Alice Hernandez is 1202 Heartland Rd, Saint Joseph, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dorothy Alice Hernandez |
|---|---|
| Address | 1202 Heartland Rd, Saint Joseph, Missouri |
| Phone Number | 8166718506 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1104045608 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1202 Heartland Rd |
|---|---|
| City | Saint Joseph |
| State | Missouri (MO) |
| Post Code | 645063492 |
| Phone Number | 8166718506 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 4052 |
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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 Dorothy Alice Hernandez's 1104045608?
The Dorothy Alice Hernandez's NPI (National Provider Identifier) Number is 1104045608. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dorothy Alice Hernandez located?
The Dorothy Alice Hernandez is located at 1202 Heartland Rd, Saint Joseph, MO 645063492.
What is Dorothy Alice Hernandez'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 Dorothy Alice Hernandez is Occupational Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 224Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104045608 to Dorothy Alice Hernandez?
The Dorothy Alice Hernandez received its 1104045608 assignment from the Centers for Medicare & Medicaid Services on 2007-04-24.
As of what date was the information regarding Dorothy Alice Hernandez, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dorothy Alice Hernandez, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.