Gwendolyn S Masterman in Bridgeport - Occupational Therapist
Gwendolyn S Masterman - NPI 1194905620
Gwendolyn S Masterman is a Occupational Therapist in Bridgeport, . Gwendolyn S Masterman practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Gwendolyn S Masterman is 1194905620. The last update date is 2011-02-16.
Gwendolyn S Masterman's current location address is 306 W Main St, Bridgeport, . You can contact this provider via phone number 3048429887 and fax number 3048429888. The mailing address for Gwendolyn S Masterman is 306 W Main St, Bridgeport, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn S Masterman |
|---|---|
| Address | 306 W Main St, Bridgeport, |
| Phone Number | 3048429887 |
| Fax Number | 3048429888 |
| Sole Proprietor | Y |
| Credentials | MOTR/L |
NPI Number Detail
| NPI Number | 1194905620 |
|---|---|
| Provider Enumeration Date | 2007-11-13 |
| Last Updated Date | 2011-02-16 |
Provider Mailing Address Detail
| Address | 306 W Main St |
|---|---|
| City | Bridgeport |
| State | (WV) |
| Post Code | 263301751 |
| Phone Number | 3048429887 |
| Fax Number | 3048429888 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 920 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique identification code assigned to Gwendolyn S Masterman by the Centers for Medicare & Medicaid Services?
The Gwendolyn S Masterman has been issued the NPI (National Provider Identifier) 1194905620. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gwendolyn S Masterman is located?
The Gwendolyn S Masterman is situated at the following address: 306 W Main St, Bridgeport, WV, 263301751.
What is Gwendolyn S Masterman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gwendolyn S Masterman is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.
On what date did the Gwendolyn S Masterman receive the assignment of its 1194905620 from the Centers for Medicare & Medicaid Services?
The Gwendolyn S Masterman was issued its 1194905620 by the Centers for Medicare & Medicaid Services on 2007-11-13.
When was the information regarding Gwendolyn S Masterman most recently updated?
The details pertaining to the Gwendolyn S Masterman, including its address, specialty, and other relevant information, were last refreshed on 2011-02-16.
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