Leslie Ann Wallace in Ronan - Occupational Therapist
Leslie Ann Wallace - NPI 1750444956
Leslie Ann Wallace is a Occupational Therapist in Ronan, Montana. Leslie Ann Wallace practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Leslie Ann Wallace is 1750444956. The last update date is 2007-07-09.
Leslie Ann Wallace's current location address is 43922 Canal Rd, Ronan, Montana. You can contact this provider via phone number 4066762912 and fax number 4066762912. The mailing address for Leslie Ann Wallace is 43922 Canal Rd, Ronan, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Ann Wallace |
|---|---|
| Address | 43922 Canal Rd, Ronan, Montana |
| Phone Number | 4066762912 |
| Fax Number | 4066762912 |
| Sole Proprietor | Y |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1750444956 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 43922 Canal Rd |
|---|---|
| City | Ronan |
| State | Montana (MT) |
| Post Code | 598649192 |
| Phone Number | 4066762912 |
| Fax Number | 4066762912 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 186 |
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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 |
|---|---|---|---|
| 341343 | MT | -- | |
| 66351 | MT | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Leslie Ann Wallace by the Centers for Medicare & Medicaid Services?
The Leslie Ann Wallace has been issued the NPI (National Provider Identifier) 1750444956 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Leslie Ann Wallace's physical address?
The Leslie Ann Wallace is physically located at 43922 Canal Rd, in the city of Ronan, MT, with the postal code 598649192.
What is the Leslie Ann Wallace's area of specialization and corresponding taxonomy classification?
The Leslie Ann Wallace's specialty field is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their specialties.
When did Leslie Ann Wallace receive its 1750444956 assignment?
The Leslie Ann Wallace was assigned its 1750444956 on 2006-12-18, which is the date when this unique identifier was issued to the organization.
When was the information regarding Leslie Ann Wallace most recently updated?
The details pertaining to the Leslie Ann Wallace, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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