Jacquelyn Ann Fetchko in Beaver - Occupational Therapist
Jacquelyn Ann Fetchko - NPI 1740404847
Jacquelyn Ann Fetchko is a Occupational Therapist in Beaver, Pennsylvania. Jacquelyn Ann Fetchko practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jacquelyn Ann Fetchko is 1740404847. The last update date is 2007-07-08.
Jacquelyn Ann Fetchko's current location address is 500 Market St, Beaver, Pennsylvania. You can contact this provider via phone number 7245865123. The mailing address for Jacquelyn Ann Fetchko is 500 Market St, Beaver, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Ann Fetchko |
|---|---|
| Address | 500 Market St, Beaver, Pennsylvania |
| Phone Number | 7245865123 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1740404847 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 Market St |
|---|---|
| City | Beaver |
| State | Pennsylvania (PA) |
| Post Code | 150092998 |
| Phone Number | 7245865123 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OC005362L |
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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 unique 10-digit identification code issued to Jacquelyn Ann Fetchko by the Centers for Medicare & Medicaid Services?
The Jacquelyn Ann Fetchko has been assigned the NPI (National Provider Identifier) 1740404847 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jacquelyn Ann Fetchko?
The Jacquelyn Ann Fetchko is situated at 500 Market St, in the city of Beaver, state of PA, with the zip code 150092998.
What is Jacquelyn Ann Fetchko's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jacquelyn Ann Fetchko's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740404847 to Jacquelyn Ann Fetchko?
The Centers for Medicare & Medicaid Services assigned the 1740404847 to Jacquelyn Ann Fetchko on 2007-04-12.
As of what date were the Jacquelyn Ann Fetchko's details last updated?
The information pertaining to the Jacquelyn Ann Fetchko, including its address, specialty, and other details, was most recently updated on 2007-07-08.