Michael M Petkovic in Tempe - Occupational Therapist
Michael M Petkovic - NPI 1871611855
Michael M Petkovic is a Occupational Therapist in Tempe, Arizona. Michael M Petkovic practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Michael M Petkovic is 1871611855. The last update date is 2009-09-15.
Michael M Petkovic's current location address is 1930 E Southern Ave, Tempe, Arizona. You can contact this provider via phone number 4804560719. The mailing address for Michael M Petkovic is 1930 E Southern Ave, Tempe, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael M Petkovic |
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Address | 1930 E Southern Ave, Tempe, Arizona |
Phone Number | 4804560719 |
Fax Number | |
Sole Proprietor | Y |
Credentials | OT |
NPI Number Detail
NPI Number | 1871611855 |
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Provider Enumeration Date | 2007-03-27 |
Last Updated Date | 2009-09-15 |
Provider Mailing Address Detail
Address | 1930 E Southern Ave |
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City | Tempe |
State | Arizona (AZ) |
Post Code | 852827518 |
Phone Number | 4804560719 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapist |
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Taxonomy | 225X00000X |
Licence No | 1822 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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495540 | AZ | -- |
Post Comment/ Review Below
What is the Michael M Petkovic's unique identification number?
The Michael M Petkovic has been assigned the NPI (National Provider Identifier) Number 1871611855 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Michael M Petkovic's physical address?
The Michael M Petkovic is physically located at 1930 E Southern Ave, in the city of Tempe, AZ, with the postal code 852827518.
What is Michael M Petkovic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael M Petkovic is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
On what date did the Michael M Petkovic receive its 1871611855 assignment from the Centers for Medicare & Medicaid Services?
The Michael M Petkovic was assigned its 1871611855 by the Centers for Medicare & Medicaid Services on 2007-03-27.
As of what date was the information pertaining to Michael M Petkovic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael M Petkovic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-09-15.