Amy Deweert in Green Bay - Occupational Therapy Assistant

Amy Deweert - NPI 1912170440

Amy Deweert is a Occupational Therapy Assistant in Green Bay, Wisconsin. Amy Deweert practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Amy Deweert is 1912170440. The last update date is 2008-04-04.

Amy Deweert's current location address is 1555 Dousman St, Green Bay, Wisconsin. You can contact this provider via phone number 9204944525 and fax number 9204946887. The mailing address for Amy Deweert is 1555 Dousman St, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy Deweert
Address 1555 Dousman St, Green Bay, Wisconsin
Phone Number 9204944525
Fax Number 9204946887
Sole Proprietor N
Credentials COTA

NPI Number Detail

NPI Number 1912170440
Provider Enumeration Date 2008-04-04
Last Updated Date 2008-04-04

Provider Mailing Address Detail

Address 1555 Dousman St
City Green Bay
State Wisconsin (WI)
Post Code 543033207
Phone Number 9204944525
Fax Number 9204946887

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
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
40750200 WI --

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FAQs about Amy Deweert

What is the unique 10-digit identification code assigned to Amy Deweert by the Centers for Medicare & Medicaid Services?

The Amy Deweert has been issued the NPI (National Provider Identifier) 1912170440, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Amy Deweert's facilities are situated?

The facilities of Amy Deweert are physically located at the following address: 1555 Dousman St, Green Bay, WI, 543033207.

What is Amy Deweert's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Amy Deweert is Occupational Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 224Z00000X.

On what date did Amy Deweert receive its 1912170440 assignment from the Centers for Medicare & Medicaid Services?

The Amy Deweert was assigned its 1912170440 on 2008-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Amy Deweert last refreshed?

The information related to the Amy Deweert, including its address, specialty, and other relevant details, was last updated on 2008-04-04.

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