Crystal Penn in Jacksonville - Occupational Therapist
Crystal Penn - NPI 1043376494
Crystal Penn is a Occupational Therapist in Jacksonville, Arkansas. Crystal Penn practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Crystal Penn is 1043376494. The last update date is 2007-07-08.
Crystal Penn's current location address is 2615 W Main St, Jacksonville, Arkansas. You can contact this provider via phone number 5019821253 and fax number 5019821253. The mailing address for Crystal Penn is 2615 W Main St, Jacksonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Crystal Penn |
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Address | 2615 W Main St, Jacksonville, Arkansas |
Phone Number | 5019821253 |
Fax Number | 5019821253 |
Sole Proprietor | N |
Credentials | OTR |
NPI Number Detail
NPI Number | 1043376494 |
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Provider Enumeration Date | 2006-12-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2615 W Main St |
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City | Jacksonville |
State | Arkansas (AR) |
Post Code | 720764215 |
Phone Number | 5019821253 |
Fax Number | 5019821253 |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapist |
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Taxonomy | 225X00000X |
Licence No | OTR2092 |
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 |
Post Comment/ Review Below
What is the unique identification code assigned to Crystal Penn by the Centers for Medicare & Medicaid Services?
The Crystal Penn has been issued the NPI (National Provider Identifier) 1043376494. 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 address where Crystal Penn is physically located?
The Crystal Penn is situated at the following address: 2615 W Main St, Jacksonville, AR 720764215.
What is the Crystal Penn's specialty and taxonomy code?
The Crystal Penn's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.
On what date did Crystal Penn receive its 1043376494 assignment from the Centers for Medicare & Medicaid Services?
The Crystal Penn was assigned its 1043376494 on 2006-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Crystal Penn's information last updated?
The Crystal Penn's information was last updated on 2007-07-08.
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