Vernon Moss is a Occupational Therapist in Monroe, Louisiana. Vernon Moss practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Vernon Moss is 1912123480. The last update date is 2011-10-04.
Vernon Moss's current location address is 109 Kiowa St, Monroe, Louisiana. You can contact this provider via phone number 3185571672 and fax number 3183452862. The mailing address for Vernon Moss is 109 Kiowa St, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vernon Moss |
|---|---|
| Address | 109 Kiowa St, Monroe, Louisiana |
| Phone Number | 3185571672 |
| Fax Number | 3183452862 |
| Sole Proprietor | Y |
| Credentials | LOTR |
NPI Number Detail
| NPI Number | 1912123480 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2011-10-04 |
Provider Mailing Address Detail
| Address | 109 Kiowa St |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712038565 |
| Phone Number | 3185571672 |
| Fax Number | 3183452862 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | Z10600 |
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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 |
|---|---|---|---|
| 1434957 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Vernon Moss?
The Vernon Moss has been issued the NPI (National Provider Identifier) 1912123480 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Vernon Moss's physical address?
The Vernon Moss is physically located at 109 Kiowa St, in the city of Monroe, LA, with the postal code 712038565.
What is Vernon Moss's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vernon Moss'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 Centers for Medicare & Medicaid Services issue the 1912123480 to Vernon Moss?
The Vernon Moss received its 1912123480 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the information related to Vernon Moss most recently updated or refreshed?
The details pertaining to the Vernon Moss, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-10-04.