Martin K. Douglas in Gallipolis - Occupational Therapy Assistant

Martin K. Douglas - NPI 1417976283

Martin K. Douglas is a Occupational Therapy Assistant in Gallipolis, Ohio. Martin K. Douglas practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Martin K. Douglas is 1417976283. The last update date is 2007-08-27.

Martin K. Douglas's current location address is 90 Jackson Pike, Gallipolis, Ohio. You can contact this provider via phone number 7404465890 and fax number 7404465532. The mailing address for Martin K. Douglas is 90 Jackson Pike, Gallipolis, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Martin K. Douglas
Address 90 Jackson Pike, Gallipolis, Ohio
Phone Number 7404465890
Fax Number 7404465532
Sole Proprietor N
Credentials OT

NPI Number Detail

NPI Number 1417976283
Provider Enumeration Date 2006-07-19
Last Updated Date 2007-08-27

Provider Mailing Address Detail

Address 90 Jackson Pike
City Gallipolis
State Ohio (OH)
Post Code 456311560
Phone Number 7404465890
Fax Number 7404465532

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
Licence No 366
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1417976283 NPI
3810000217 WV --
217244 ANTHEM BCBS

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FAQs about Martin K. Douglas

What is the Martin K. Douglas's unique identification number?

The Martin K. Douglas has been assigned the NPI (National Provider Identifier) Number 1417976283 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Martin K. Douglas's facilities are situated?

The facilities of Martin K. Douglas are physically located at the following address: 90 Jackson Pike, Gallipolis, OH, 456311560.

What is Martin K. Douglas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Martin K. Douglas is Occupational Therapy Assistant, and the taxonomy code that classifies this field of practice is 224Z00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417976283 to Martin K. Douglas?

The Centers for Medicare & Medicaid Services assigned the 1417976283 to Martin K. Douglas on 2006-07-19.

As of what date was the information regarding Martin K. Douglas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Martin K. Douglas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-27.

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