Jacquelyn Sample in Columbia - Occupational Therapist
Jacquelyn Sample - NPI 1568509867
Jacquelyn Sample is a Occupational Therapist in Columbia, Missouri. Jacquelyn Sample practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jacquelyn Sample is 1568509867. The last update date is 2009-08-07.
Jacquelyn Sample's current location address is 300 Portland Street, Columbia, Missouri. You can contact this provider via phone number 5738823757 and fax number 6367333332. The mailing address for Jacquelyn Sample is 300 Portland Street, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Sample |
|---|---|
| Address | 300 Portland Street, Columbia, Missouri |
| Phone Number | 5738823757 |
| Fax Number | 6367333332 |
| Sole Proprietor | N |
| Credentials | MED OTRL |
NPI Number Detail
| NPI Number | 1568509867 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2009-08-07 |
Provider Mailing Address Detail
| Address | 300 Portland Street |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 65202 |
| Phone Number | 5738823757 |
| Fax Number | 6367333332 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 4712 |
|
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 |
|---|---|---|---|
| 476068812 | MS | -- |
Post Comment/ Review Below
What is the Jacquelyn Sample's unique identification number?
The Jacquelyn Sample has been assigned the NPI (National Provider Identifier) Number 1568509867 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jacquelyn Sample is located?
The Jacquelyn Sample is situated at the following address: 300 Portland Street, Columbia, MO, 65202.
What is Jacquelyn Sample's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacquelyn Sample is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
On what date was the 1568509867 assigned to Jacquelyn Sample?
The Jacquelyn Sample was issued its 1568509867 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jacquelyn Sample, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacquelyn Sample, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-08-07.