Suzanne Lanay Fullerton in Little Rock - Occupational Therapist
Suzanne Lanay Fullerton - NPI 1114075405
Suzanne Lanay Fullerton is a Occupational Therapist in Little Rock, Arkansas. Suzanne Lanay Fullerton practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Suzanne Lanay Fullerton is 1114075405. The last update date is 2010-12-17.
Suzanne Lanay Fullerton's current location address is 12709 Meadows Edge Ln, Little Rock, Arkansas. You can contact this provider via phone number 5015144938. The mailing address for Suzanne Lanay Fullerton is 12709 Meadows Edge Ln, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Suzanne Lanay Fullerton |
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Address | 12709 Meadows Edge Ln, Little Rock, Arkansas |
Phone Number | 5015144938 |
Fax Number | |
Sole Proprietor | N |
Credentials | OTRL |
NPI Number Detail
NPI Number | 1114075405 |
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Provider Enumeration Date | 2007-01-05 |
Last Updated Date | 2010-12-17 |
Provider Mailing Address Detail
Address | 12709 Meadows Edge Ln |
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City | Little Rock |
State | Arkansas (AR) |
Post Code | 722114443 |
Phone Number | 5015144938 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapist |
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Taxonomy | 225X00000X |
Licence No | 1058 |
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 |
---|---|---|---|
130689721 | AR | -- | |
5X798 | AR | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Suzanne Lanay Fullerton by the Centers for Medicare & Medicaid Services?
The Suzanne Lanay Fullerton has been issued the NPI (National Provider Identifier) 1114075405 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Suzanne Lanay Fullerton?
The Suzanne Lanay Fullerton is physically situated at 12709 Meadows Edge Ln, in the city of Little Rock, state of AR, with the postal code 722114443.
What is Suzanne Lanay Fullerton's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Suzanne Lanay Fullerton is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114075405 to Suzanne Lanay Fullerton?
The Centers for Medicare & Medicaid Services assigned the 1114075405 to Suzanne Lanay Fullerton on 2007-01-05.
As of what date were the details pertaining to Suzanne Lanay Fullerton last refreshed?
The information related to the Suzanne Lanay Fullerton, including its address, specialty, and other relevant details, was last updated on 2010-12-17.