Telisa T Wardlaw in Jamaica - Occupational Therapist
Telisa T Wardlaw - NPI 1164588158
Telisa T Wardlaw is a Occupational Therapist in Jamaica, New York. Telisa T Wardlaw practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Telisa T Wardlaw is 1164588158. The last update date is 2012-01-19.
Telisa T Wardlaw's current location address is 17030 130th Ave, Jamaica, New York. You can contact this provider via phone number 9176501126. The mailing address for Telisa T Wardlaw is 17030 130th Ave, Jamaica, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Telisa T Wardlaw |
|---|---|
| Address | 17030 130th Ave, Jamaica, New York |
| Phone Number | 9176501126 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1164588158 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2012-01-19 |
Provider Mailing Address Detail
| Address | 17030 130th Ave |
|---|---|
| City | Jamaica |
| State | New York (NY) |
| Post Code | 114346002 |
| Phone Number | 9176501126 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 016130-1 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Telisa T Wardlaw by the Centers for Medicare & Medicaid Services?
The Telisa T Wardlaw has been issued the NPI (National Provider Identifier) 1164588158, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Telisa T Wardlaw's facilities are situated?
The facilities of Telisa T Wardlaw are physically located at the following address: 17030 130Th Ave, Jamaica, NY, 114346002.
What is Telisa T Wardlaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Telisa T Wardlaw's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164588158 to Telisa T Wardlaw?
The Centers for Medicare & Medicaid Services originally issued the 1164588158 to Telisa T Wardlaw on 2006-12-28.
When was the information related to Telisa T Wardlaw most recently updated or refreshed?
The details pertaining to the Telisa T Wardlaw, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-19.
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