Alice Gourd in Albuquerque - Occupational Therapist
Alice Gourd - NPI 1073666558
Alice Gourd is a Occupational Therapist in Albuquerque, New Mexico. Alice Gourd practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Alice Gourd is 1073666558. The last update date is 2007-07-09.
Alice Gourd's current location address is 725 Mission Ave Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5053445269. The mailing address for Alice Gourd is 725 Mission Ave Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice Gourd |
|---|---|
| Address | 725 Mission Ave Ne, Albuquerque, New Mexico |
| Phone Number | 5053445269 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1073666558 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 725 Mission Ave Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871074909 |
| Phone Number | 5053445269 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 1661 |
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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 |
|---|---|---|---|
| G 7689 | NM | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Alice Gourd?
The Alice Gourd has been issued the NPI (National Provider Identifier) 1073666558 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Alice Gourd's facilities are geographically located?
The facilities of Alice Gourd are physically situated at the following location: 725 Mission Ave Ne, Albuquerque, NM, 871074909.
What is Alice Gourd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alice Gourd's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
When was the Alice Gourd's 1073666558 issued?
The Alice Gourd's 1073666558 was issued on 2007-01-19.
When was the information pertaining to Alice Gourd most recently updated or revised?
The details related to Alice Gourd, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.