Leah A Crull in Rockford - Occupational Therapist

Leah A Crull - NPI 1811905482

Leah A Crull is a Occupational Therapist in Rockford, Illinois. Leah A Crull practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Leah A Crull is 1811905482. The last update date is 2012-09-05.

Leah A Crull's current location address is 2662 Mcfarland Rd, Rockford, Illinois. You can contact this provider via phone number 8152268780 and fax number 8152271744. The mailing address for Leah A Crull is 2662 Mcfarland Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Leah A Crull
Address 2662 Mcfarland Rd, Rockford, Illinois
Phone Number 8152268780
Fax Number 8152271744
Sole Proprietor N
Credentials OTR/L, CHT

NPI Number Detail

NPI Number 1811905482
Provider Enumeration Date 2006-08-03
Last Updated Date 2012-09-05

Provider Mailing Address Detail

Address 2662 Mcfarland Rd
City Rockford
State Illinois (IL)
Post Code 611076806
Phone Number 8152268780
Fax Number 8152271744

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 056-001483
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
056-001483 IL STATE LICENSE

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FAQs about Leah A Crull

Could you provide the complete physical address where Leah A Crull is located?

The Leah A Crull is situated at the following address: 2662 Mcfarland Rd, Rockford, IL, 611076806.

What is Leah A Crull's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Leah A Crull's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.

On what date did Leah A Crull receive its 1811905482 assignment from the Centers for Medicare & Medicaid Services?

The Leah A Crull was assigned its 1811905482 on 2006-08-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Centers for Medicare & Medicaid Services assign the 1811905482 to Leah A Crull?

The Centers for Medicare & Medicaid Services assigned the 1811905482 to Leah A Crull on 2006-08-03.

When was the information related to Leah A Crull most recently updated or refreshed?

The details pertaining to the Leah A Crull, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-09-05.

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