Shondel Gough in Midvale - Occupational Therapy Assistant
Shondel Gough - NPI 1366619256
Shondel Gough is a Occupational Therapy Assistant in Midvale, Utah. Shondel Gough practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Shondel Gough is 1366619256. The last update date is 2008-05-10.
Shondel Gough's current location address is 7442 S 240 E, Midvale, Utah. You can contact this provider via phone number 8016411735. The mailing address for Shondel Gough is 7442 S 240 E, Midvale, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shondel Gough |
|---|---|
| Address | 7442 S 240 E, Midvale, Utah |
| Phone Number | 8016411735 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA/L |
NPI Number Detail
| NPI Number | 1366619256 |
|---|---|
| Provider Enumeration Date | 2008-05-10 |
| Last Updated Date | 2008-05-10 |
Provider Mailing Address Detail
| Address | 7442 S 240 E |
|---|---|
| City | Midvale |
| State | Utah (UT) |
| Post Code | 840472191 |
| Phone Number | 8016411735 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 5341395-4202 |
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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 unique 10-digit identifier code assigned to Shondel Gough by the Centers for Medicare & Medicaid Services?
The Shondel Gough has been issued the NPI (National Provider Identifier) 1366619256 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Shondel Gough's physical address?
The Shondel Gough is physically located at 7442 S 240 E, in the city of Midvale, UT, with the postal code 840472191.
What is Shondel Gough's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shondel Gough's area of specialization is Occupational Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 224Z00000X.
On what date did the Shondel Gough receive the assignment of its 1366619256 from the Centers for Medicare & Medicaid Services?
The Shondel Gough was issued its 1366619256 by the Centers for Medicare & Medicaid Services on 2008-05-10.
When was the information regarding Shondel Gough most recently updated?
The details pertaining to the Shondel Gough, including its address, specialty, and other relevant information, were last refreshed on 2008-05-10.