Debora Jean Prendergast in Minerva - Physical Therapy Assistant

Debora Jean Prendergast - NPI 1619174547

Debora Jean Prendergast is a Physical Therapy Assistant in Minerva, Ohio. Debora Jean Prendergast practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Debora Jean Prendergast is 1619174547. The last update date is 2007-07-08.

Debora Jean Prendergast's current location address is 7995 Knox School Rd, Minerva, Ohio. You can contact this provider via phone number 3308942894. The mailing address for Debora Jean Prendergast is 7995 Knox School Rd, Minerva, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Debora Jean Prendergast
Address 7995 Knox School Rd, Minerva, Ohio
Phone Number 3308942894
Fax Number
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1619174547
Provider Enumeration Date 2007-07-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7995 Knox School Rd
City Minerva
State Ohio (OH)
Post Code 446579437
Phone Number 3308942894
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA03600
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 Debora Jean Prendergast

What is the unique identifier code issued to Debora Jean Prendergast by the Centers for Medicare & Medicaid Services?

The Debora Jean Prendergast has been assigned the NPI (National Provider Identifier) 1619174547. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Debora Jean Prendergast?

The Debora Jean Prendergast is situated at 7995 Knox School Rd, in the city of Minerva, state of OH, with the zip code 446579437.

What is the area of specialization for Debora Jean Prendergast, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Debora Jean Prendergast is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.

On what date did the Debora Jean Prendergast receive the assignment of its 1619174547 from the Centers for Medicare & Medicaid Services?

The Debora Jean Prendergast was issued its 1619174547 by the Centers for Medicare & Medicaid Services on 2007-07-03.

When was the Debora Jean Prendergast's information last updated?

The Debora Jean Prendergast's information was last updated on 2007-07-08.

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