Andrea E Penacho in Cranston - Occupational Therapist
Andrea E Penacho - NPI 1750331682
Andrea E Penacho is a Occupational Therapist in Cranston, Rhode Island. Andrea E Penacho practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Andrea E Penacho is 1750331682. The last update date is 2021-01-04.
Andrea E Penacho's current location address is 721 Reservoir Ave, Cranston, Rhode Island. You can contact this provider via phone number 4019464250 and fax number 4012755645. The mailing address for Andrea E Penacho is 721 Reservoir Ave, Cranston, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea E Penacho |
|---|---|
| Address | 721 Reservoir Ave, Cranston, Rhode Island |
| Phone Number | 4019464250 |
| Fax Number | 4012755645 |
| Sole Proprietor | N |
| Credentials | OTRL |
NPI Number Detail
| NPI Number | 1750331682 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2021-01-04 |
Provider Mailing Address Detail
| Address | 721 Reservoir Ave |
|---|---|
| City | Cranston |
| State | Rhode Island (RI) |
| Post Code | 291044300 |
| Phone Number | 4019464250 |
| Fax Number | 4012755645 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT00513 |
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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 |
|---|---|---|---|
| 408949 | RI | BLUECHIP RI IND. ID# |
Post Comment/ Review Below
What is the unique identifier code issued to Andrea E Penacho by the Centers for Medicare & Medicaid Services?
The Andrea E Penacho has been assigned the NPI (National Provider Identifier) 1750331682. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Andrea E Penacho is located?
The Andrea E Penacho is situated at the following address: 721 Reservoir Ave, Cranston, RI, 291044300.
What is Andrea E Penacho's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Andrea E Penacho's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
When did Andrea E Penacho receive its 1750331682 assignment?
The Andrea E Penacho was assigned its 1750331682 on 2006-05-11, which is the date when this unique identifier was issued to the organization.
As of what date were the Andrea E Penacho's details last updated?
The information pertaining to the Andrea E Penacho, including its address, specialty, and other details, was most recently updated on 2021-01-04.