Andrea Jean Ellensohn in Mesa - Occupational Therapist
Andrea Jean Ellensohn - NPI 1043336167
Andrea Jean Ellensohn is a Occupational Therapist in Mesa, Arizona. Andrea Jean Ellensohn practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Andrea Jean Ellensohn is 1043336167. The last update date is 2007-07-09.
Andrea Jean Ellensohn's current location address is 1819 S Dobson Rd, Mesa, Arizona. You can contact this provider via phone number 4804560719. The mailing address for Andrea Jean Ellensohn is 1819 S Dobson Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Jean Ellensohn |
|---|---|
| Address | 1819 S Dobson Rd, Mesa, Arizona |
| Phone Number | 4804560719 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1043336167 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1819 S Dobson Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852025664 |
| Phone Number | 4804560719 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 1051 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 947442 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Andrea Jean Ellensohn?
The Andrea Jean Ellensohn has been issued the NPI (National Provider Identifier) 1043336167 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Andrea Jean Ellensohn?
The Andrea Jean Ellensohn is situated at 1819 S Dobson Rd, in the city of Mesa, state of AZ, with the zip code 852025664.
What is Andrea Jean Ellensohn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Andrea Jean Ellensohn is Occupational Therapist, and the corresponding taxonomy classification code for this specialized field is 225X00000X.
On what date did the Andrea Jean Ellensohn receive the assignment of its 1043336167 from the Centers for Medicare & Medicaid Services?
The Andrea Jean Ellensohn was issued its 1043336167 by the Centers for Medicare & Medicaid Services on 2007-03-21.
When was the information regarding Andrea Jean Ellensohn most recently updated?
The details pertaining to the Andrea Jean Ellensohn, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.