Courtney Johnston Wang in Ann Arbor - Occupational Therapist
Courtney Johnston Wang - NPI 1700062445
Courtney Johnston Wang is a Occupational Therapist in Ann Arbor, Michigan. Courtney Johnston Wang practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Courtney Johnston Wang is 1700062445. The last update date is 2017-01-24.
Courtney Johnston Wang's current location address is 5840 Interface Dr, Ann Arbor, Michigan. You can contact this provider via phone number 7346278001 and fax number 7344331989. The mailing address for Courtney Johnston Wang is 5840 Interface Dr, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney Johnston Wang |
|---|---|
| Address | 5840 Interface Dr, Ann Arbor, Michigan |
| Phone Number | 7346278001 |
| Fax Number | 7344331989 |
| Sole Proprietor | N |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1700062445 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2017-01-24 |
Provider Mailing Address Detail
| Address | 5840 Interface Dr |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481039176 |
| Phone Number | 7346278001 |
| Fax Number | 7344331989 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 3354 |
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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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What is the unique identifier code issued to Courtney Johnston Wang by the Centers for Medicare & Medicaid Services?
The Courtney Johnston Wang has been assigned the NPI (National Provider Identifier) 1700062445. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Courtney Johnston Wang?
The Courtney Johnston Wang is situated at 5840 Interface Dr, in the city of Ann Arbor, state of MI, with the zip code 481039176.
What is Courtney Johnston Wang's specialized field of practice, and what is the corresponding taxonomy classification code?
The Courtney Johnston Wang'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 assign the 1700062445 to Courtney Johnston Wang?
The Centers for Medicare & Medicaid Services assigned the 1700062445 to Courtney Johnston Wang on 2008-01-11.
As of what date were the details pertaining to Courtney Johnston Wang last refreshed?
The information related to the Courtney Johnston Wang, including its address, specialty, and other relevant details, was last updated on 2017-01-24.