Mida N Bautista-Dittma in Channahon - Physical Therapist
Mida N Bautista-Dittma - NPI 1982714010
Mida N Bautista-Dittma is a Physical Therapist in Channahon, Illinois. Mida N Bautista-Dittma practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mida N Bautista-Dittma is 1982714010. The last update date is 2009-01-14.
Mida N Bautista-Dittma's current location address is Po Box 764, Channahon, Illinois. You can contact this provider via phone number 8152234479 and fax number 8152234479. The mailing address for Mida N Bautista-Dittma is Po Box 764, Channahon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mida N Bautista-Dittma |
|---|---|
| Address | Po Box 764, Channahon, Illinois |
| Phone Number | 8152234479 |
| Fax Number | 8152234479 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1982714010 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2009-01-14 |
Provider Mailing Address Detail
| Address | Po Box 764 |
|---|---|
| City | Channahon |
| State | Illinois (IL) |
| Post Code | 604100764 |
| Phone Number | 8152234479 |
| Fax Number | 8152234479 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 70007736 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identifier code issued to Mida N Bautista-Dittma by the Centers for Medicare & Medicaid Services?
The Mida N Bautista-Dittma has been assigned the NPI (National Provider Identifier) 1982714010 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mida N Bautista-Dittma?
The Mida N Bautista-Dittma is situated at Po Box 764, in the city of Channahon, state of IL, with the zip code 604100764.
What is the area of specialization for Mida N Bautista-Dittma, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mida N Bautista-Dittma is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did Mida N Bautista-Dittma receive its 1982714010 assignment from the Centers for Medicare & Medicaid Services?
The Mida N Bautista-Dittma was assigned its 1982714010 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mida N Bautista-Dittma, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mida N Bautista-Dittma, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-14.