Mary Subra in Mcdonough - Occupational Therapist

Mary Subra - NPI 1033251764

Mary Subra is a Occupational Therapist in Mcdonough, Georgia. Mary Subra practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Mary Subra is 1033251764. The last update date is 2012-09-25.

Mary Subra's current location address is 191 Pittypat Pl, Mcdonough, Georgia. You can contact this provider via phone number 7706015044 and fax number 6784322834. The mailing address for Mary Subra is 191 Pittypat Pl, Mcdonough, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Subra
Address 191 Pittypat Pl, Mcdonough, Georgia
Phone Number 7706015044
Fax Number 6784322834
Sole Proprietor Y
Credentials OT

NPI Number Detail

NPI Number 1033251764
Provider Enumeration Date 2007-02-12
Last Updated Date 2012-09-25

Provider Mailing Address Detail

Address 191 Pittypat Pl
City Mcdonough
State Georgia (GA)
Post Code 302535554
Phone Number 7706015044
Fax Number 6784322834

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 3817
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
634151927B GA --
61724926 GA TAX ID
634151927D GA --

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FAQs about Mary Subra

What is the unique 10-digit identifier code assigned to Mary Subra by the Centers for Medicare & Medicaid Services?

The Mary Subra has been issued the NPI (National Provider Identifier) 1033251764 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Mary Subra is physically located?

The Mary Subra is situated at the following address: 191 Pittypat Pl, Mcdonough, GA 302535554.

What is the area of specialization for Mary Subra, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Subra is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.

When did Mary Subra receive its 1033251764 assignment?

The Mary Subra was assigned its 1033251764 on 2007-02-12, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Mary Subra, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary Subra, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-25.

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