Stacey L Green in Youngstown - Occupational Therapy Assistant

Stacey L Green - NPI 1225206089

Stacey L Green is a Occupational Therapy Assistant in Youngstown, Ohio. Stacey L Green practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Stacey L Green is 1225206089. The last update date is 2008-02-14.

Stacey L Green's current location address is 730 S Hazelwood Ave, Youngstown, Ohio. You can contact this provider via phone number 3307924815. The mailing address for Stacey L Green is 730 S Hazelwood Ave, Youngstown, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey L Green
Address 730 S Hazelwood Ave, Youngstown, Ohio
Phone Number 3307924815
Fax Number
Sole Proprietor N
Credentials COTA/L

NPI Number Detail

NPI Number 1225206089
Provider Enumeration Date 2008-02-14
Last Updated Date 2008-02-14

Provider Mailing Address Detail

Address 730 S Hazelwood Ave
City Youngstown
State Ohio (OH)
Post Code 445092232
Phone Number 3307924815
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
Licence No OTA.03290
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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FAQs about Stacey L Green

What is the unique 10-digit identifier code assigned to Stacey L Green by the Centers for Medicare & Medicaid Services?

The Stacey L Green has been issued the NPI (National Provider Identifier) 1225206089 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Stacey L Green is geographically located?

The Stacey L Green is physically situated at the following location: 730 S Hazelwood Ave, Youngstown, OH, 445092232.

What is Stacey L Green'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 Stacey L Green is Occupational Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 224Z00000X.

On what date did the Stacey L Green receive its 1225206089 assignment from the Centers for Medicare & Medicaid Services?

The Stacey L Green was assigned its 1225206089 by the Centers for Medicare & Medicaid Services on 2008-02-14.

As of what date were the details related to Stacey L Green most recently updated or revised?

The information pertaining to Stacey L Green, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-14.

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