Premala T Menezes in South Sioux City - Occupational Therapist
Premala T Menezes - NPI 1306872403
Premala T Menezes is a Occupational Therapist in South Sioux City, Nebraska. Premala T Menezes practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Premala T Menezes is 1306872403. The last update date is 2007-07-08.
Premala T Menezes's current location address is 3410 Futures Dr, South Sioux City, Nebraska. You can contact this provider via phone number 4024124271 and fax number 4024124296. The mailing address for Premala T Menezes is 3410 Futures Dr, South Sioux City, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Premala T Menezes |
|---|---|
| Address | 3410 Futures Dr, South Sioux City, Nebraska |
| Phone Number | 4024124271 |
| Fax Number | 4024124296 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1306872403 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3410 Futures Dr |
|---|---|
| City | South Sioux City |
| State | Nebraska (NE) |
| Post Code | 687763917 |
| Phone Number | 4024124271 |
| Fax Number | 4024124296 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 158 |
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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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What is the Premala T Menezes's unique identification number?
The Premala T Menezes has been assigned the NPI (National Provider Identifier) Number 1306872403 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Premala T Menezes's physical address?
The Premala T Menezes is physically located at 3410 Futures Dr, in the city of South Sioux City, NE, with the postal code 687763917.
What is Premala T Menezes's specialized field of practice, and what is the corresponding taxonomy classification code?
The Premala T Menezes's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did the Premala T Menezes receive its 1306872403 assignment from the Centers for Medicare & Medicaid Services?
The Premala T Menezes was assigned its 1306872403 by the Centers for Medicare & Medicaid Services on 2006-06-23.
As of what date were the details related to Premala T Menezes most recently updated or revised?
The information pertaining to Premala T Menezes, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.