Leslie Kendle Goodrum in Tonopah - Occupational Therapist
Leslie Kendle Goodrum - NPI 1982748570
Leslie Kendle Goodrum is a Occupational Therapist in Tonopah, Arizona. Leslie Kendle Goodrum practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Leslie Kendle Goodrum is 1982748570. The last update date is 2007-07-09.
Leslie Kendle Goodrum's current location address is 38201 W Indian School Rd, Tonopah, Arizona. You can contact this provider via phone number 6233865688. The mailing address for Leslie Kendle Goodrum is 38201 W Indian School Rd, Tonopah, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Kendle Goodrum |
|---|---|
| Address | 38201 W Indian School Rd, Tonopah, Arizona |
| Phone Number | 6233865688 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1982748570 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 38201 W Indian School Rd |
|---|---|
| City | Tonopah |
| State | Arizona (AZ) |
| Post Code | 853547301 |
| Phone Number | 6233865688 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 753 |
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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 |
|---|---|---|---|
| 225XP0200X | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Leslie Kendle Goodrum by the Centers for Medicare & Medicaid Services (CMS)?
The Leslie Kendle Goodrum has been assigned the NPI (National Provider Identifier) 1982748570. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Leslie Kendle Goodrum's facilities are situated?
The facilities of Leslie Kendle Goodrum are physically located at the following address: 38201 W Indian School Rd, Tonopah, AZ, 853547301.
What is Leslie Kendle Goodrum's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leslie Kendle Goodrum's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
On what date was the 1982748570 assigned to Leslie Kendle Goodrum?
The Leslie Kendle Goodrum was issued its 1982748570 on 2007-02-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Leslie Kendle Goodrum's information last updated?
The Leslie Kendle Goodrum's information was last updated on 2007-07-09.
NPI Number: 1023014131
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