Kelley Broyld in Dallas - Occupational Therapist
Kelley Broyld - NPI 1902962624
Kelley Broyld is a Occupational Therapist in Dallas, Georgia. Kelley Broyld practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Kelley Broyld is 1902962624. The last update date is 2012-04-13.
Kelley Broyld's current location address is 155 Palisades Dr, Dallas, Georgia. You can contact this provider via phone number 4045798307. The mailing address for Kelley Broyld is 155 Palisades Dr, Dallas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Broyld |
|---|---|
| Address | 155 Palisades Dr, Dallas, Georgia |
| Phone Number | 4045798307 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | B.S. |
NPI Number Detail
| NPI Number | 1902962624 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2012-04-13 |
Provider Mailing Address Detail
| Address | 155 Palisades Dr |
|---|---|
| City | Dallas |
| State | Georgia (GA) |
| Post Code | 301570927 |
| Phone Number | 4045798307 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT003284 |
|
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 provider identifier assigned to Kelley Broyld?
The Kelley Broyld has been issued the NPI (National Provider Identifier) 1902962624 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Kelley Broyld is physically located?
The Kelley Broyld is situated at the following address: 155 Palisades Dr, Dallas, GA 301570927.
What is the Kelley Broyld's area of specialization and corresponding taxonomy classification?
The Kelley Broyld's specialty field is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1902962624 to Kelley Broyld?
The Centers for Medicare & Medicaid Services assigned the 1902962624 to Kelley Broyld on 2006-12-28.
As of what date were the details pertaining to Kelley Broyld last refreshed?
The information related to the Kelley Broyld, including its address, specialty, and other relevant details, was last updated on 2012-04-13.