Teresa L Goodwin in Pocatello - Occupational Therapy Assistant
Teresa L Goodwin - NPI 1881748507
Teresa L Goodwin is a Occupational Therapy Assistant in Pocatello, Idaho. Teresa L Goodwin practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Teresa L Goodwin is 1881748507. The last update date is 2018-03-17.
Teresa L Goodwin's current location address is 4317 Opal Ave Trlr 6, Pocatello, Idaho. You can contact this provider via phone number 2082833087. The mailing address for Teresa L Goodwin is 4317 Opal Ave Trlr 6, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa L Goodwin |
|---|---|
| Address | 4317 Opal Ave Trlr 6, Pocatello, Idaho |
| Phone Number | 2082833087 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1881748507 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 4317 Opal Ave Trlr 6 |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832042168 |
| Phone Number | 2082833087 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | OTA182 |
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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 identification code assigned to Teresa L Goodwin by the Centers for Medicare & Medicaid Services?
The Teresa L Goodwin has been issued the NPI (National Provider Identifier) 1881748507. This 10-digit code 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 Teresa L Goodwin's facilities are situated?
The facilities of Teresa L Goodwin are physically located at the following address: 4317 Opal Ave Trlr 6, Pocatello, ID, 832042168.
What is Teresa L Goodwin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Teresa L Goodwin's specialized field of practice is Occupational Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 224Z00000X.
On what date did the Teresa L Goodwin receive its 1881748507 assignment from the Centers for Medicare & Medicaid Services?
The Teresa L Goodwin was assigned its 1881748507 by the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date was the information regarding Teresa L Goodwin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Teresa L Goodwin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.