Susan Carol Whitehead in Baldwin - Occupational Therapist

Susan Carol Whitehead - NPI 1245280072

Susan Carol Whitehead is a Occupational Therapist in Baldwin, Illinois. Susan Carol Whitehead practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Susan Carol Whitehead is 1245280072. The last update date is 2007-07-08.

Susan Carol Whitehead's current location address is 9596 Pearidge Rd, Baldwin, Illinois. You can contact this provider via phone number 6187852998 and fax number 3142897037. The mailing address for Susan Carol Whitehead is 9596 Pearidge Rd, Baldwin, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Carol Whitehead
Address 9596 Pearidge Rd, Baldwin, Illinois
Phone Number 6187852998
Fax Number 3142897037
Sole Proprietor X
Credentials OTR/L

NPI Number Detail

NPI Number 1245280072
Provider Enumeration Date 2006-05-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9596 Pearidge Rd
City Baldwin
State Illinois (IL)
Post Code 622171712
Phone Number 6187852998
Fax Number 3142897037

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
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

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FAQs about Susan Carol Whitehead

What is the Susan Carol Whitehead's unique identification number?

The Susan Carol Whitehead has been assigned the NPI (National Provider Identifier) Number 1245280072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Susan Carol Whitehead is physically located?

The Susan Carol Whitehead is physically situated at the following address: 9596 Pearidge Rd, Baldwin, IL, 622171712.

What is the Susan Carol Whitehead's specialty and taxonomy code?

The Susan Carol Whitehead's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.

On what date did Susan Carol Whitehead receive its 1245280072 assignment from the Centers for Medicare & Medicaid Services?

The Susan Carol Whitehead was assigned its 1245280072 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Susan Carol Whitehead most recently updated or revised?

The information pertaining to Susan Carol Whitehead, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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