Erin Victoria Jackson in Otisfield - Occupational Therapist
Erin Victoria Jackson - NPI 1215042379
Erin Victoria Jackson is a Occupational Therapist in Otisfield, Maine. Erin Victoria Jackson practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Erin Victoria Jackson is 1215042379. The last update date is 2010-12-16.
Erin Victoria Jackson's current location address is 59 Shore Rd, Otisfield, Maine. You can contact this provider via phone number 5083410601 and fax number 2077437063. The mailing address for Erin Victoria Jackson is 59 Shore Rd, Otisfield, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erin Victoria Jackson |
|---|---|
| Address | 59 Shore Rd, Otisfield, Maine |
| Phone Number | 5083410601 |
| Fax Number | 2077437063 |
| Sole Proprietor | N |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1215042379 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2010-12-16 |
Provider Mailing Address Detail
| Address | 59 Shore Rd |
|---|---|
| City | Otisfield |
| State | Maine (ME) |
| Post Code | 42706442 |
| Phone Number | 5083410601 |
| Fax Number | 2077437063 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT12164 |
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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 |
|---|---|---|---|
| 891136300 | FL | -- |
Post Comment/ Review Below
What is the Erin Victoria Jackson's unique identification number?
The Erin Victoria Jackson has been assigned the NPI (National Provider Identifier) Number 1215042379 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Erin Victoria Jackson is physically located?
The Erin Victoria Jackson is physically situated at the following address: 59 Shore Rd, Otisfield, ME, 42706442.
What is Erin Victoria Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Erin Victoria Jackson is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215042379 to Erin Victoria Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1215042379 to Erin Victoria Jackson on 2006-08-20.
As of what date was the information pertaining to Erin Victoria Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Erin Victoria Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-12-16.