Stefanie Peregrin in Lafayette - Occupational Therapist
Stefanie Peregrin - NPI 1104045772
Stefanie Peregrin is a Occupational Therapist in Lafayette, Indiana. Stefanie Peregrin practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Stefanie Peregrin is 1104045772. The last update date is 2010-10-01.
Stefanie Peregrin's current location address is Po Box 5545, Lafayette, Indiana. You can contact this provider via phone number 7654488000. The mailing address for Stefanie Peregrin is Po Box 5545, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stefanie Peregrin |
|---|---|
| Address | Po Box 5545, Lafayette, Indiana |
| Phone Number | 7654488000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OCCUPATION |
NPI Number Detail
| NPI Number | 1104045772 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2010-10-01 |
Provider Mailing Address Detail
| Address | Po Box 5545 |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479035545 |
| Phone Number | 7654488000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 31003259A |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200957340 | IN | -- | |
| 622162 | IN | ANTHEM PROVIDER NUMBER / ARNET | |
| 243268 | ANTHEM BLUE CROSS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stefanie Peregrin?
The Stefanie Peregrin has been issued the NPI (National Provider Identifier) 1104045772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Stefanie Peregrin is physically located?
The Stefanie Peregrin is situated at the following address: Po Box 5545, Lafayette, IN 479035545.
What is Stefanie Peregrin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stefanie Peregrin'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 the Centers for Medicare & Medicaid Services originally issue the 1104045772 to Stefanie Peregrin?
The Centers for Medicare & Medicaid Services originally issued the 1104045772 to Stefanie Peregrin on 2007-04-24.
When was the information pertaining to Stefanie Peregrin most recently updated or revised?
The details related to Stefanie Peregrin, including its address, specialty, and other relevant information, were last updated or revised on 2010-10-01.