Donna Yudora Roundtree in South Holland - Occupational Therapist
Donna Yudora Roundtree - NPI 1114141405
Donna Yudora Roundtree is a Occupational Therapist in South Holland, Illinois. Donna Yudora Roundtree practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Donna Yudora Roundtree is 1114141405. The last update date is 2008-11-06.
Donna Yudora Roundtree's current location address is 16820 Manor Dr, South Holland, Illinois. You can contact this provider via phone number 7084746590 and fax number 7084746599. The mailing address for Donna Yudora Roundtree is 16820 Manor Dr, South Holland, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna Yudora Roundtree |
|---|---|
| Address | 16820 Manor Dr, South Holland, Illinois |
| Phone Number | 7084746590 |
| Fax Number | 7084746599 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1114141405 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2008-11-06 |
Provider Mailing Address Detail
| Address | 16820 Manor Dr |
|---|---|
| City | South Holland |
| State | Illinois (IL) |
| Post Code | 604734608 |
| Phone Number | 7084746590 |
| Fax Number | 7084746599 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 56002350 |
|
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 |
|---|---|---|---|
| 1635598 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identification code issued to Donna Yudora Roundtree by the Centers for Medicare & Medicaid Services?
The Donna Yudora Roundtree has been assigned the NPI (National Provider Identifier) 1114141405 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Donna Yudora Roundtree?
The Donna Yudora Roundtree is situated at 16820 Manor Dr, in the city of South Holland, state of IL, with the zip code 604734608.
What is Donna Yudora Roundtree's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Donna Yudora Roundtree is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114141405 to Donna Yudora Roundtree?
The Donna Yudora Roundtree received its 1114141405 assignment from the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the information regarding Donna Yudora Roundtree most recently updated?
The details pertaining to the Donna Yudora Roundtree, including its address, specialty, and other relevant information, were last refreshed on 2008-11-06.
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