Debra Eaine Puckett in Fort Payne - Occupational Therapist
Debra Eaine Puckett - NPI 1255454849
Debra Eaine Puckett is a Occupational Therapist in Fort Payne, Alabama. Debra Eaine Puckett practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Debra Eaine Puckett is 1255454849. The last update date is 2007-07-08.
Debra Eaine Puckett's current location address is 112 68th St Nw, Fort Payne, Alabama. You can contact this provider via phone number 2569979929 and fax number 2568442994. The mailing address for Debra Eaine Puckett is 112 68th St Nw, Fort Payne, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Eaine Puckett |
|---|---|
| Address | 112 68th St Nw, Fort Payne, Alabama |
| Phone Number | 2569979929 |
| Fax Number | 2568442994 |
| Sole Proprietor | Y |
| Credentials | OTL |
NPI Number Detail
| NPI Number | 1255454849 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 112 68th St Nw |
|---|---|
| City | Fort Payne |
| State | Alabama (AL) |
| Post Code | 359678300 |
| Phone Number | 2569979929 |
| Fax Number | 2568442994 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 2140 |
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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 10-digit identification code issued to Debra Eaine Puckett by the Centers for Medicare & Medicaid Services?
The Debra Eaine Puckett has been assigned the NPI (National Provider Identifier) 1255454849 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 physical location address of Debra Eaine Puckett?
The Debra Eaine Puckett is physically situated at 112 68Th St Nw, in the city of Fort Payne, state of AL, with the postal code 359678300.
What is the Debra Eaine Puckett's specialty and taxonomy code?
The Debra Eaine Puckett's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255454849 to Debra Eaine Puckett?
The Centers for Medicare & Medicaid Services originally issued the 1255454849 to Debra Eaine Puckett on 2007-04-09.
When was the Debra Eaine Puckett's information last updated?
The Debra Eaine Puckett's information was last updated on 2007-07-08.
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