Lori Childers in W Melbourne - Physical Therapy Assistant

Lori Childers - NPI 1558475327

Lori Childers is a Physical Therapy Assistant in W Melbourne, Florida. Lori Childers practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Lori Childers is 1558475327. The last update date is 2007-07-08.

Lori Childers's current location address is 2129 W New Haven Ave, W Melbourne, Florida. You can contact this provider via phone number 3217240060 and fax number 3217246775. The mailing address for Lori Childers is 2129 W New Haven Ave, W Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lori Childers
Address 2129 W New Haven Ave, W Melbourne, Florida
Phone Number 3217240060
Fax Number 3217246775
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1558475327
Provider Enumeration Date 2006-08-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2129 W New Haven Ave
City W Melbourne
State Florida (FL)
Post Code 32904
Phone Number 3217240060
Fax Number 3217246775

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA20219
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Lori Childers

What is the unique 10-digit identification code issued to Lori Childers by the Centers for Medicare & Medicaid Services?

The Lori Childers has been assigned the NPI (National Provider Identifier) 1558475327 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Lori Childers is physically located?

The Lori Childers is physically situated at the following address: 2129 W New Haven Ave, W Melbourne, FL, 32904.

What is Lori Childers's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lori Childers is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1558475327 to Lori Childers?

The Centers for Medicare & Medicaid Services originally issued the 1558475327 to Lori Childers on 2006-08-18.

As of what date was the information regarding Lori Childers, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lori Childers, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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