Leeann Parker Petrina in Raleigh - Occupational Therapist

Leeann Parker Petrina - NPI 1740345321

Leeann Parker Petrina is a Occupational Therapist in Raleigh, North Carolina. Leeann Parker Petrina practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Leeann Parker Petrina is 1740345321. The last update date is 2007-07-09.

Leeann Parker Petrina's current location address is 4201 Lake Boone Trail, Raleigh, North Carolina. You can contact this provider via phone number 9197814434 and fax number 9197815851. The mailing address for Leeann Parker Petrina is 4201 Lake Boone Trail, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Leeann Parker Petrina
Address 4201 Lake Boone Trail, Raleigh, North Carolina
Phone Number 9197814434
Fax Number 9197815851
Sole Proprietor N
Credentials OT

NPI Number Detail

NPI Number 1740345321
Provider Enumeration Date 2006-12-26
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 4201 Lake Boone Trail
City Raleigh
State North Carolina (NC)
Post Code 276077511
Phone Number 9197814434
Fax Number 9197815851

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 5124
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
7301650 NC --
1343P BCBS
6400040 UNITED HEALTHCARE
7283522 AETNA
8300041K NC --
C7994 MEDCOST

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FAQs about Leeann Parker Petrina

What is the unique identifier code issued to Leeann Parker Petrina by the Centers for Medicare & Medicaid Services?

The Leeann Parker Petrina has been assigned the NPI (National Provider Identifier) 1740345321. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Leeann Parker Petrina's facilities are situated?

The facilities of Leeann Parker Petrina are physically located at the following address: 4201 Lake Boone Trail, Raleigh, NC, 276077511.

What is Leeann Parker Petrina's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Leeann Parker Petrina is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1740345321 to Leeann Parker Petrina?

The Centers for Medicare & Medicaid Services assigned the 1740345321 to Leeann Parker Petrina on 2006-12-26.

When was the information pertaining to Leeann Parker Petrina most recently updated or revised?

The details related to Leeann Parker Petrina, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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