Jennifer Manning in Detroit Lakes - Occupational Therapist
Jennifer Manning - NPI 1669413027
Jennifer Manning is a Occupational Therapist in Detroit Lakes, Minnesota. Jennifer Manning practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jennifer Manning is 1669413027. The last update date is 2007-10-17.
Jennifer Manning's current location address is 803 Roosevelt Ave, Detroit Lakes, Minnesota. You can contact this provider via phone number 2188445555 and fax number 2188446057. The mailing address for Jennifer Manning is 803 Roosevelt Ave, Detroit Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jennifer Manning |
|---|---|
| Address | 803 Roosevelt Ave, Detroit Lakes, Minnesota |
| Phone Number | 2188445555 |
| Fax Number | 2188446057 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER OCCU |
|---|---|
| Authorized Official Name | Manning Michelle Jennifer |
| Credentials | OTRL |
| Telephone Number | 2188445555 |
NPI Number Detail
| NPI Number | 1669413027 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 803 Roosevelt Ave |
|---|---|
| City | Detroit Lakes |
| State | Minnesota (MN) |
| Post Code | 56501 |
| Phone Number | 2188445555 |
| Fax Number | 2188446057 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 8826097 |
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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 |
|---|---|---|---|
| 053D8LA | MN | BLUE COSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jennifer Manning?
The Jennifer Manning has been issued the NPI (National Provider Identifier) 1669413027 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jennifer Manning located?
The Jennifer Manning is located at 803 Roosevelt Ave, Detroit Lakes, MN 56501.
What is Jennifer Manning's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer Manning is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
On what date did the Jennifer Manning receive the assignment of its 1669413027 from the Centers for Medicare & Medicaid Services?
The Jennifer Manning was issued its 1669413027 by the Centers for Medicare & Medicaid Services on 2006-06-09.
When was the information pertaining to Jennifer Manning most recently updated or revised?
The details related to Jennifer Manning, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-17.