Tammy C Wade in Lucedale - Occupational Therapist

Tammy C Wade - NPI 1952313298

Tammy C Wade is a Occupational Therapist in Lucedale, Mississippi. Tammy C Wade practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Tammy C Wade is 1952313298. The last update date is 2009-02-26.

Tammy C Wade's current location address is 2210b Mill Street Ext, Lucedale, Mississippi. You can contact this provider via phone number 6019479005 and fax number 6019479007. The mailing address for Tammy C Wade is 2210b Mill Street Ext, Lucedale, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Tammy C Wade
Address 2210b Mill Street Ext, Lucedale, Mississippi
Phone Number 6019479005
Fax Number 6019479007
Sole Proprietor N
Credentials OT

NPI Number Detail

NPI Number 1952313298
Provider Enumeration Date 2006-08-13
Last Updated Date 2009-02-26

Provider Mailing Address Detail

Address 2210b Mill Street Ext
City Lucedale
State Mississippi (MS)
Post Code 394526064
Phone Number 6019479005
Fax Number 6019479007

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No OT1512
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
1033218524 MS GROUP NPI
9015077 MS --

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FAQs about Tammy C Wade

What is the unique identifier code issued to Tammy C Wade by the Centers for Medicare & Medicaid Services?

The Tammy C Wade has been assigned the NPI (National Provider Identifier) 1952313298. 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 Tammy C Wade is located?

The Tammy C Wade is situated at the following address: 2210B Mill Street Ext, Lucedale, MS, 394526064.

What is Tammy C Wade's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Tammy C Wade'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 Tammy C Wade receive its 1952313298 assignment from the Centers for Medicare & Medicaid Services?

The Tammy C Wade was assigned its 1952313298 on 2006-08-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Tammy C Wade most recently updated or revised?

The information pertaining to Tammy C Wade, including its address, specialty, and other relevant details, was last updated or revised on 2009-02-26.

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