Mary Tenney Quibrera in Corvallis - Occupational Therapist
Mary Tenney Quibrera - NPI 1063613990
Mary Tenney Quibrera is a Occupational Therapist in Corvallis, Oregon. Mary Tenney Quibrera practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Mary Tenney Quibrera is 1063613990. The last update date is 2007-07-08.
Mary Tenney Quibrera's current location address is 3600 Nw Samaritan Dr, Corvallis, Oregon. You can contact this provider via phone number 5417685048. The mailing address for Mary Tenney Quibrera is 3600 Nw Samaritan Dr, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Tenney Quibrera |
|---|---|
| Address | 3600 Nw Samaritan Dr, Corvallis, Oregon |
| Phone Number | 5417685048 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1063613990 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3600 Nw Samaritan Dr |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 973303737 |
| Phone Number | 5417685048 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 1039091 |
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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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What is the Mary Tenney Quibrera's unique identification number?
The Mary Tenney Quibrera has been assigned the NPI (National Provider Identifier) Number 1063613990 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mary Tenney Quibrera?
The Mary Tenney Quibrera is situated at 3600 Nw Samaritan Dr, in the city of Corvallis, state of OR, with the zip code 973303737.
What is Mary Tenney Quibrera's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Tenney Quibrera'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 Mary Tenney Quibrera receive its 1063613990 assignment from the Centers for Medicare & Medicaid Services?
The Mary Tenney Quibrera was assigned its 1063613990 by the Centers for Medicare & Medicaid Services on 2007-05-29.
When was the information pertaining to Mary Tenney Quibrera most recently updated or revised?
The details related to Mary Tenney Quibrera, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.