Carisa Jane Gulledge in Decaturville - Occupational Therapy Assistant
Carisa Jane Gulledge - NPI 1710060777
Carisa Jane Gulledge is a Occupational Therapy Assistant in Decaturville, Tennessee. Carisa Jane Gulledge practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Carisa Jane Gulledge is 1710060777. The last update date is 2019-02-07.
Carisa Jane Gulledge's current location address is 524 W Main St, Decaturville, Tennessee. You can contact this provider via phone number 7318523591 and fax number 7318522283. The mailing address for Carisa Jane Gulledge is 524 W Main St, Decaturville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carisa Jane Gulledge |
|---|---|
| Address | 524 W Main St, Decaturville, Tennessee |
| Phone Number | 7318523591 |
| Fax Number | 7318522283 |
| Sole Proprietor | Y |
| Credentials | COTA/L |
NPI Number Detail
| NPI Number | 1710060777 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2019-02-07 |
Provider Mailing Address Detail
| Address | 524 W Main St |
|---|---|
| City | Decaturville |
| State | Tennessee (TN) |
| Post Code | 383298101 |
| Phone Number | 7318523591 |
| Fax Number | 7318522283 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 1257 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carisa Jane Gulledge by the Centers for Medicare & Medicaid Services?
The Carisa Jane Gulledge has been assigned the NPI (National Provider Identifier) 1710060777 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Carisa Jane Gulledge is geographically located?
The Carisa Jane Gulledge is physically situated at the following location: 524 W Main St, Decaturville, TN, 383298101.
What is Carisa Jane Gulledge's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carisa Jane Gulledge is Occupational Therapy Assistant, and the taxonomy code that classifies this field of practice is 224Z00000X.
On what date did Carisa Jane Gulledge receive its 1710060777 assignment from the Centers for Medicare & Medicaid Services?
The Carisa Jane Gulledge was assigned its 1710060777 on 2006-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Carisa Jane Gulledge, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carisa Jane Gulledge, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-02-07.