Cape Fear Orthopaedic Clinic, Pa in Fayetteville - Occupational Therapist
Cape Fear Orthopaedic Clinic, Pa - NPI 1245204494
Cape Fear Orthopaedic Clinic, Pa is a Occupational Therapist in Fayetteville, North Carolina. Cape Fear Orthopaedic Clinic, Pa practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Cape Fear Orthopaedic Clinic, Pa is 1245204494. The last update date is 2019-08-06.
Cape Fear Orthopaedic Clinic, Pa's current location address is 4140 Ferncreek Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9104842171 and fax number 9104844568. The mailing address for Cape Fear Orthopaedic Clinic, Pa is 4140 Ferncreek Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cape Fear Orthopaedic Clinic, Pa |
|---|---|
| Address | 4140 Ferncreek Dr, Fayetteville, North Carolina |
| Phone Number | 9104842171 |
| Fax Number | 9104844568 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Broussard J Bradley |
| Credentials | MD |
| Telephone Number | 9104842171 |
NPI Number Detail
| NPI Number | 1245204494 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2019-08-06 |
Provider Mailing Address Detail
| Address | 4140 Ferncreek Dr |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283142572 |
| Phone Number | 9104842171 |
| Fax Number | 9104844568 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
|
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 |
|---|---|---|---|
| 1185 | NC | BCBS GROUP ID NUMBER | |
| 7901185 | NC | -- |
Post Comment/ Review Below
What is the area of specialization for Cape Fear Orthopaedic Clinic, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Cape Fear Orthopaedic Clinic, Pa is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.
When was the Cape Fear Orthopaedic Clinic, Pa's 1245204494 issued?
The Cape Fear Orthopaedic Clinic, Pa's 1245204494 was issued on 2006-02-15.
On what date did the Centers for Medicare & Medicaid Services issue the 1245204494 to Cape Fear Orthopaedic Clinic, Pa?
The Cape Fear Orthopaedic Clinic, Pa received its 1245204494 assignment from the Centers for Medicare & Medicaid Services on 2006-02-15.
When was the Cape Fear Orthopaedic Clinic, Pa's information last updated?
The Cape Fear Orthopaedic Clinic, Pa's information was last updated on 2019-08-06.
When was the information pertaining to Cape Fear Orthopaedic Clinic, Pa most recently updated or revised?
The details related to Cape Fear Orthopaedic Clinic, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2019-08-06.