Jennifer Elaine Crockett in Havre De Grace - Occupational Therapist

Jennifer Elaine Crockett - NPI 1649309188

Jennifer Elaine Crockett is a Occupational Therapist in Havre De Grace, Maryland. Jennifer Elaine Crockett practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jennifer Elaine Crockett is 1649309188. The last update date is 2007-07-08.

Jennifer Elaine Crockett's current location address is 115 Grace Manor Drive, Havre De Grace, Maryland. You can contact this provider via phone number 4109391655. The mailing address for Jennifer Elaine Crockett is 115 Grace Manor Drive, Havre De Grace, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Elaine Crockett
Address 115 Grace Manor Drive, Havre De Grace, Maryland
Phone Number 4109391655
Fax Number
Sole Proprietor N
Credentials OTRL

NPI Number Detail

NPI Number 1649309188
Provider Enumeration Date 2007-03-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 115 Grace Manor Drive
City Havre De Grace
State Maryland (MD)
Post Code 21078
Phone Number 4109391655
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 2900
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
62041301 MD CAREFIRST BCBS

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FAQs about Jennifer Elaine Crockett

What is the unique 10-digit identifier code issued to Jennifer Elaine Crockett by the Centers for Medicare & Medicaid Services?

The Jennifer Elaine Crockett has been assigned the NPI (National Provider Identifier) 1649309188 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Jennifer Elaine Crockett is physically located?

The Jennifer Elaine Crockett is physically situated at the following address: 115 Grace Manor Drive, Havre De Grace, MD, 21078.

What is Jennifer Elaine Crockett's area of expertise and its corresponding taxonomy classification?

The Jennifer Elaine Crockett's field of specialization is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their areas of practice.

When did Jennifer Elaine Crockett receive its 1649309188 assignment?

The Jennifer Elaine Crockett was assigned its 1649309188 on 2007-03-02, which is the date when this unique identifier was issued to the organization.

When was the information regarding Jennifer Elaine Crockett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jennifer Elaine Crockett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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