Tara Pettengill is a Pediatrics in Gilbert, Arizona. Tara Pettengill practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tara Pettengill is 1548319049. The last update date is 2007-07-08.
Tara Pettengill's current location address is 140 S Gilbert Rd, Gilbert, Arizona. You can contact this provider via phone number 4805585131. The mailing address for Tara Pettengill is 140 S Gilbert Rd, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Pettengill |
|---|---|
| Address | 140 S Gilbert Rd, Gilbert, Arizona |
| Phone Number | 4805585131 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1548319049 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 140 S Gilbert Rd |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852961016 |
| Phone Number | 4805585131 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 7428 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identifier code issued to Tara Pettengill by the Centers for Medicare & Medicaid Services?
The Tara Pettengill has been assigned the NPI (National Provider Identifier) 1548319049 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Tara Pettengill is physically located?
The Tara Pettengill is physically situated at the following address: 140 S Gilbert Rd, Gilbert, AZ, 852961016.
What is the Tara Pettengill's specialty and taxonomy code?
The Tara Pettengill's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
When was the Tara Pettengill's 1548319049 issued?
The Tara Pettengill's 1548319049 was issued on 2007-01-10.
As of what date were the details pertaining to Tara Pettengill last refreshed?
The information related to the Tara Pettengill, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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