Patricia Ann Wallace in Bolingbrook - Occupational Therapist
Patricia Ann Wallace - NPI 1851354492
Patricia Ann Wallace is a Occupational Therapist in Bolingbrook, Illinois. Patricia Ann Wallace practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Patricia Ann Wallace is 1851354492. The last update date is 2013-08-05.
Patricia Ann Wallace's current location address is 790 Remington Blvd, Bolingbrook, Illinois. You can contact this provider via phone number 6302962223. The mailing address for Patricia Ann Wallace is 790 Remington Blvd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Ann Wallace |
|---|---|
| Address | 790 Remington Blvd, Bolingbrook, Illinois |
| Phone Number | 6302962223 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.T. |
NPI Number Detail
| NPI Number | 1851354492 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2013-08-05 |
Provider Mailing Address Detail
| Address | 790 Remington Blvd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604404909 |
| Phone Number | 6302962223 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 31000396A |
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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 |
|---|---|---|---|
| 355350 | IN | ANTHEM ID | |
| 200515660 | IN | -- |
Post Comment/ Review Below
What is the Patricia Ann Wallace's unique identification number?
The Patricia Ann Wallace has been assigned the NPI (National Provider Identifier) Number 1851354492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Patricia Ann Wallace is physically located?
The Patricia Ann Wallace is situated at the following address: 790 Remington Blvd, Bolingbrook, IL 604404909.
What is the area of specialization for Patricia Ann Wallace, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Patricia Ann Wallace is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.
On what date did Patricia Ann Wallace receive its 1851354492 assignment from the Centers for Medicare & Medicaid Services?
The Patricia Ann Wallace was assigned its 1851354492 on 2006-04-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Patricia Ann Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Patricia Ann Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-05.