Jacqueline M Johnson in Spencerport - Occupational Therapist

Jacqueline M Johnson - NPI 1801980032

Jacqueline M Johnson is a Occupational Therapist in Spencerport, New York. Jacqueline M Johnson practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jacqueline M Johnson is 1801980032. The last update date is 2011-06-22.

Jacqueline M Johnson's current location address is 71 Lyell Ave, Spencerport, New York. You can contact this provider via phone number 5853495140. The mailing address for Jacqueline M Johnson is 71 Lyell Ave, Spencerport, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline M Johnson
Address 71 Lyell Ave, Spencerport, New York
Phone Number 5853495140
Fax Number
Sole Proprietor N
Credentials OTR/L

NPI Number Detail

NPI Number 1801980032
Provider Enumeration Date 2006-10-03
Last Updated Date 2011-06-22

Provider Mailing Address Detail

Address 71 Lyell Ave
City Spencerport
State New York (NY)
Post Code 145591825
Phone Number 5853495140
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 63 013501
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
30-0213081 NY TAX ID

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FAQs about Jacqueline M Johnson

What is the unique 10-digit identifier code assigned to Jacqueline M Johnson by the Centers for Medicare & Medicaid Services?

The Jacqueline M Johnson has been issued the NPI (National Provider Identifier) 1801980032 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jacqueline M Johnson's facilities are situated?

The facilities of Jacqueline M Johnson are physically located at the following address: 71 Lyell Ave, Spencerport, NY, 145591825.

What is Jacqueline M Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jacqueline M Johnson is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.

When did the Jacqueline M Johnson receive its 1801980032?

The Jacqueline M Johnson was issued its 1801980032 on 2006-10-03, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Jacqueline M Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jacqueline M Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-06-22.

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