Traci Margene Stalker in Montello - Occupational Therapy Assistant

Traci Margene Stalker - NPI 1952590275

Traci Margene Stalker is a Occupational Therapy Assistant in Montello, Wisconsin. Traci Margene Stalker practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Traci Margene Stalker is 1952590275. The last update date is 2007-10-23.

Traci Margene Stalker's current location address is W6112 Fawn Ct, Montello, Wisconsin. You can contact this provider via phone number 6085895070. The mailing address for Traci Margene Stalker is W6112 Fawn Ct, Montello, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Traci Margene Stalker
Address W6112 Fawn Ct, Montello, Wisconsin
Phone Number 6085895070
Fax Number
Sole Proprietor N
Credentials COTA

NPI Number Detail

NPI Number 1952590275
Provider Enumeration Date 2007-10-23
Last Updated Date 2007-10-23

Provider Mailing Address Detail

Address W6112 Fawn Ct
City Montello
State Wisconsin (WI)
Post Code 539498049
Phone Number 6085895070
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
Licence No 1129-27
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
1129-27 WI WI OTA LICENSE NUMBER

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FAQs about Traci Margene Stalker

What is the unique 10-digit identification code assigned to Traci Margene Stalker by the Centers for Medicare & Medicaid Services?

The Traci Margene Stalker has been issued the NPI (National Provider Identifier) 1952590275, 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 Traci Margene Stalker's facilities are situated?

The facilities of Traci Margene Stalker are physically located at the following address: W6112 Fawn Ct, Montello, WI, 539498049.

What is Traci Margene Stalker's area of expertise and its corresponding taxonomy classification?

The Traci Margene Stalker's field of specialization is Occupational Therapy Assistant, and it falls under the taxonomy code 224Z00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Traci Margene Stalker receive the assignment of its 1952590275 from the Centers for Medicare & Medicaid Services?

The Traci Margene Stalker was issued its 1952590275 by the Centers for Medicare & Medicaid Services on 2007-10-23.

When was the information regarding Traci Margene Stalker, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Traci Margene Stalker, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-23.

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