Deborah A. Wallace in Roselle - Occupational Therapist
Deborah A. Wallace - NPI 1295950244
Deborah A. Wallace is a Occupational Therapist in Roselle, Illinois. Deborah A. Wallace practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Deborah A. Wallace is 1295950244. The last update date is 2007-07-08.
Deborah A. Wallace's current location address is 1036 Borden Dr, Roselle, Illinois. You can contact this provider via phone number 3129427173 and fax number 3129425094. The mailing address for Deborah A. Wallace is 1036 Borden Dr, Roselle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah A. Wallace |
|---|---|
| Address | 1036 Borden Dr, Roselle, Illinois |
| Phone Number | 3129427173 |
| Fax Number | 3129425094 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1295950244 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1036 Borden Dr |
|---|---|
| City | Roselle |
| State | Illinois (IL) |
| Post Code | 601721706 |
| Phone Number | 3129427173 |
| Fax Number | 3129425094 |
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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Deborah A. Wallace by the Centers for Medicare & Medicaid Services?
The Deborah A. Wallace has been issued the NPI (National Provider Identifier) 1295950244 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Deborah A. Wallace?
The Deborah A. Wallace is situated at 1036 Borden Dr, in the city of Roselle, state of IL, with the zip code 601721706.
What is the Deborah A. Wallace's specialty and taxonomy code?
The Deborah A. Wallace's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295950244 to Deborah A. Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1295950244 to Deborah A. Wallace on 2007-04-16.
As of what date were the details pertaining to Deborah A. Wallace last refreshed?
The information related to the Deborah A. Wallace, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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