Jaclyn Marie Anderson in Suttons Bay - Occupational Therapist

Jaclyn Marie Anderson - NPI 1295920726

Jaclyn Marie Anderson is a Occupational Therapist in Suttons Bay, Michigan. Jaclyn Marie Anderson practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jaclyn Marie Anderson is 1295920726. The last update date is 2013-10-28.

Jaclyn Marie Anderson's current location address is 124 W Fourth St, Suttons Bay, Michigan. You can contact this provider via phone number 2312711200 and fax number 2312711214. The mailing address for Jaclyn Marie Anderson is 124 W Fourth St, Suttons Bay, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jaclyn Marie Anderson
Address 124 W Fourth St, Suttons Bay, Michigan
Phone Number 2312711200
Fax Number 2312711214
Sole Proprietor N
Credentials OT

NPI Number Detail

NPI Number 1295920726
Provider Enumeration Date 2007-09-07
Last Updated Date 2013-10-28

Provider Mailing Address Detail

Address 124 W Fourth St
City Suttons Bay
State Michigan (MI)
Post Code 496829733
Phone Number 2312711200
Fax Number 2312711214

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 5201005612
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
43-2035142 MI TAX ID

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FAQs about Jaclyn Marie Anderson

What is the unique 10-digit identifier code assigned to Jaclyn Marie Anderson by the Centers for Medicare & Medicaid Services?

The Jaclyn Marie Anderson has been issued the NPI (National Provider Identifier) 1295920726 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Jaclyn Marie Anderson located?

The Jaclyn Marie Anderson is located at 124 W Fourth St, Suttons Bay, MI 496829733.

What is Jaclyn Marie Anderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jaclyn Marie Anderson's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.

On what date did the Jaclyn Marie Anderson receive the assignment of its 1295920726 from the Centers for Medicare & Medicaid Services?

The Jaclyn Marie Anderson was issued its 1295920726 by the Centers for Medicare & Medicaid Services on 2007-09-07.

As of what date was the information pertaining to Jaclyn Marie Anderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jaclyn Marie Anderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-10-28.

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