Jan Wilson in Bloomington - Occupational Therapist
Jan Wilson - NPI 1558489526
Jan Wilson is a Occupational Therapist in Bloomington, Illinois. Jan Wilson practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jan Wilson is 1558489526. The last update date is 2007-07-08.
Jan Wilson's current location address is 1702 Longden Ave, Bloomington, Illinois. You can contact this provider via phone number 3095276240. The mailing address for Jan Wilson is 1702 Longden Ave, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan Wilson |
|---|---|
| Address | 1702 Longden Ave, Bloomington, Illinois |
| Phone Number | 3095276240 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ROT |
NPI Number Detail
| NPI Number | 1558489526 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1702 Longden Ave |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617018304 |
| Phone Number | 3095276240 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
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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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What is the unique 10-digit identification code issued to Jan Wilson by the Centers for Medicare & Medicaid Services?
The Jan Wilson has been assigned the NPI (National Provider Identifier) 1558489526 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jan Wilson?
The Jan Wilson is physically situated at 1702 Longden Ave, in the city of Bloomington, state of IL, with the postal code 617018304.
What is the Jan Wilson's area of specialization and corresponding taxonomy classification?
The Jan Wilson'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 Jan Wilson receive the assignment of its 1558489526 from the Centers for Medicare & Medicaid Services?
The Jan Wilson was issued its 1558489526 by the Centers for Medicare & Medicaid Services on 2007-03-27.
When was the information pertaining to Jan Wilson most recently updated or revised?
The details related to Jan Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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