Dana Sophia D'Eagle in Bolingbrook - Occupational Therapist
Dana Sophia D'Eagle - NPI 1881687838
Dana Sophia D'Eagle is a Occupational Therapist in Bolingbrook, Illinois. Dana Sophia D'Eagle practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Dana Sophia D'Eagle is 1881687838. The last update date is 2015-07-03.
Dana Sophia D'Eagle's current location address is 790 Remington Blvd, Bolingbrook, Illinois. You can contact this provider via phone number 6302962223 and fax number 6307599510. The mailing address for Dana Sophia D'Eagle is 790 Remington Blvd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Sophia D'Eagle |
|---|---|
| Address | 790 Remington Blvd, Bolingbrook, Illinois |
| Phone Number | 6302962223 |
| Fax Number | 6307599510 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1881687838 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2015-07-03 |
Provider Mailing Address Detail
| Address | 790 Remington Blvd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604404909 |
| Phone Number | 6302962223 |
| Fax Number | 6307599510 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT00002169 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112691 | WA | DEPT OF L&I | |
| AC7585 | WA | REGENCE B/S |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dana Sophia D'Eagle by the Centers for Medicare & Medicaid Services?
The Dana Sophia D'Eagle has been issued the NPI (National Provider Identifier) 1881687838 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dana Sophia D'Eagle's facilities are geographically located?
The facilities of Dana Sophia D'Eagle are physically situated at the following location: 790 Remington Blvd, Bolingbrook, IL, 604404909.
What is the area of specialization for Dana Sophia D'Eagle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dana Sophia D'Eagle is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881687838 to Dana Sophia D'Eagle?
The Centers for Medicare & Medicaid Services assigned the 1881687838 to Dana Sophia D'Eagle on 2005-08-24.
When was the information pertaining to Dana Sophia D'Eagle most recently updated or revised?
The details related to Dana Sophia D'Eagle, including its address, specialty, and other relevant information, were last updated or revised on 2015-07-03.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY