Annette R Chiddister in Elkhart - Occupational Therapist

Annette R Chiddister - NPI 1033392816

Annette R Chiddister is a Occupational Therapist in Elkhart, Indiana. Annette R Chiddister practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Annette R Chiddister is 1033392816. The last update date is 2007-12-14.

Annette R Chiddister's current location address is 2310 California Rd, Elkhart, Indiana. You can contact this provider via phone number 5742640791 and fax number 5742629650. The mailing address for Annette R Chiddister is 2310 California Rd, Elkhart, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Annette R Chiddister
Address 2310 California Rd, Elkhart, Indiana
Phone Number 5742640791
Fax Number 5742629650
Sole Proprietor N
Credentials COTA

NPI Number Detail

NPI Number 1033392816
Provider Enumeration Date 2007-12-14
Last Updated Date 2007-12-14

Provider Mailing Address Detail

Address 2310 California Rd
City Elkhart
State Indiana (IN)
Post Code 465141228
Phone Number 5742640791
Fax Number 5742629650

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 32001188A
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
32001188A IN LICENSE

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FAQs about Annette R Chiddister

What is the unique 10-digit identification code assigned to Annette R Chiddister by the Centers for Medicare & Medicaid Services?

The Annette R Chiddister has been issued the NPI (National Provider Identifier) 1033392816, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Annette R Chiddister?

The Annette R Chiddister is physically situated at 2310 California Rd, in the city of Elkhart, state of IN, with the postal code 465141228.

What is Annette R Chiddister's specialized field of practice, and what is the corresponding taxonomy classification code?

The Annette R Chiddister's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.

On what date did the Annette R Chiddister receive its 1033392816 assignment from the Centers for Medicare & Medicaid Services?

The Annette R Chiddister was assigned its 1033392816 by the Centers for Medicare & Medicaid Services on 2007-12-14.

As of what date were the Annette R Chiddister's details last updated?

The information pertaining to the Annette R Chiddister, including its address, specialty, and other details, was most recently updated on 2007-12-14.

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