Cliff D Dedeaux in Hattiesburg - Occupational Therapist
Cliff D Dedeaux - NPI 1972642403
Cliff D Dedeaux is a Occupational Therapist in Hattiesburg, Mississippi. Cliff D Dedeaux practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Cliff D Dedeaux is 1972642403. The last update date is 2007-07-08.
Cliff D Dedeaux's current location address is 1520 Adeline St, Hattiesburg, Mississippi. You can contact this provider via phone number 6624187547. The mailing address for Cliff D Dedeaux is 1520 Adeline St, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cliff D Dedeaux |
|---|---|
| Address | 1520 Adeline St, Hattiesburg, Mississippi |
| Phone Number | 6624187547 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1972642403 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1520 Adeline St |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394016265 |
| Phone Number | 6624187547 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT1514 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Cliff D Dedeaux by the Centers for Medicare & Medicaid Services?
The Cliff D Dedeaux has been issued the NPI (National Provider Identifier) 1972642403, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Cliff D Dedeaux?
The Cliff D Dedeaux is situated at 1520 Adeline St, in the city of Hattiesburg, state of MS, with the zip code 394016265.
What is Cliff D Dedeaux's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cliff D Dedeaux'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 Centers for Medicare & Medicaid Services assign the 1972642403 to Cliff D Dedeaux?
The Centers for Medicare & Medicaid Services assigned the 1972642403 to Cliff D Dedeaux on 2007-02-05.
As of what date was the information pertaining to Cliff D Dedeaux, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Cliff D Dedeaux, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.