Chama Etheridge in Socorro - Occupational Therapist
Chama Etheridge - NPI 1972613693
Chama Etheridge is a Occupational Therapist in Socorro, New Mexico. Chama Etheridge practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Chama Etheridge is 1972613693. The last update date is 2007-07-08.
Chama Etheridge's current location address is 832 W Hwy 60, Socorro, New Mexico. You can contact this provider via phone number 5058381100 and fax number 5058380394. The mailing address for Chama Etheridge is 832 W Hwy 60, Socorro, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Chama Etheridge |
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Address | 832 W Hwy 60, Socorro, New Mexico |
Phone Number | 5058381100 |
Fax Number | 5058380394 |
Sole Proprietor | N |
Credentials | OTR L |
NPI Number Detail
NPI Number | 1972613693 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 832 W Hwy 60 |
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City | Socorro |
State | New Mexico (NM) |
Post Code | 87801 |
Phone Number | 5058381100 |
Fax Number | 5058380394 |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapist |
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Taxonomy | 225X00000X |
Licence No | 1969 |
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 |
---|---|---|---|
93657366 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Chama Etheridge by the Centers for Medicare & Medicaid Services?
The Chama Etheridge has been assigned the NPI (National Provider Identifier) 1972613693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Chama Etheridge's facilities are situated?
The facilities of Chama Etheridge are physically located at the following address: 832 W Hwy 60, Socorro, NM, 87801.
What is Chama Etheridge's specialized field of practice, and what is the corresponding taxonomy classification code?
The Chama Etheridge'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 Centers for Medicare & Medicaid Services assign the 1972613693 to Chama Etheridge?
The Centers for Medicare & Medicaid Services assigned the 1972613693 to Chama Etheridge on 2006-08-30.
When was the information regarding Chama Etheridge most recently updated?
The details pertaining to the Chama Etheridge, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.