Diane Bailey Gollott in Creston - Occupational Therapist
Diane Bailey Gollott - NPI 1063544419
Diane Bailey Gollott is a Occupational Therapist in Creston, North Carolina. Diane Bailey Gollott practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Diane Bailey Gollott is 1063544419. The last update date is 2007-07-09.
Diane Bailey Gollott's current location address is 330 Little Laurel Rd, Creston, North Carolina. You can contact this provider via phone number 3363852122. The mailing address for Diane Bailey Gollott is 330 Little Laurel Rd, Creston, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Bailey Gollott |
|---|---|
| Address | 330 Little Laurel Rd, Creston, North Carolina |
| Phone Number | 3363852122 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1063544419 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 330 Little Laurel Rd |
|---|---|
| City | Creston |
| State | North Carolina (NC) |
| Post Code | 286158923 |
| Phone Number | 3363852122 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 4499 |
|
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 |
|---|---|---|---|
| 7301630 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Diane Bailey Gollott by the Centers for Medicare & Medicaid Services?
The Diane Bailey Gollott has been assigned the NPI (National Provider Identifier) 1063544419 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Diane Bailey Gollott is located?
The Diane Bailey Gollott is situated at the following address: 330 Little Laurel Rd, Creston, NC, 286158923.
What is Diane Bailey Gollott's specialized field of practice, and what is the corresponding taxonomy classification code?
The Diane Bailey Gollott'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 Diane Bailey Gollott receive its 1063544419 assignment from the Centers for Medicare & Medicaid Services?
The Diane Bailey Gollott was assigned its 1063544419 by the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information regarding Diane Bailey Gollott most recently updated?
The details pertaining to the Diane Bailey Gollott, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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