Dianne M Tennant Rucker in Mahomet - Occupational Therapist
Dianne M Tennant Rucker - NPI 1316091036
Dianne M Tennant Rucker is a Occupational Therapist in Mahomet, Illinois. Dianne M Tennant Rucker practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Dianne M Tennant Rucker is 1316091036. The last update date is 2007-07-09.
Dianne M Tennant Rucker's current location address is 905 N Riverview Ln, Mahomet, Illinois. You can contact this provider via phone number 2176215429 and fax number 8662672080. The mailing address for Dianne M Tennant Rucker is 905 N Riverview Ln, Mahomet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dianne M Tennant Rucker |
|---|---|
| Address | 905 N Riverview Ln, Mahomet, Illinois |
| Phone Number | 2176215429 |
| Fax Number | 8662672080 |
| Sole Proprietor | Y |
| Credentials | OTRL |
NPI Number Detail
| NPI Number | 1316091036 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 905 N Riverview Ln |
|---|---|
| City | Mahomet |
| State | Illinois (IL) |
| Post Code | 618539768 |
| Phone Number | 2176215429 |
| Fax Number | 8662672080 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | DM58211298P |
|
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 |
|---|---|---|---|
| 371389210 | IL | -- | |
| DM58211298P | IL | IL OT LICNESE NUMBER | |
| 1032002 | IL | BLUE CROSS BLUE SHEILD |
Post Comment/ Review Below
What is the Dianne M Tennant Rucker's unique identification number?
The Dianne M Tennant Rucker has been assigned the NPI (National Provider Identifier) Number 1316091036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Dianne M Tennant Rucker's physical address?
The Dianne M Tennant Rucker is physically located at 905 N Riverview Ln, in the city of Mahomet, IL, with the postal code 618539768.
What is Dianne M Tennant Rucker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dianne M Tennant Rucker is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
On what date did the Dianne M Tennant Rucker receive its 1316091036 assignment from the Centers for Medicare & Medicaid Services?
The Dianne M Tennant Rucker was assigned its 1316091036 by the Centers for Medicare & Medicaid Services on 2007-01-22.
When was the information pertaining to Dianne M Tennant Rucker most recently updated or revised?
The details related to Dianne M Tennant Rucker, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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