Susquehanna Valley Medical Specialties, Pc in Bloomsburg - Occupational Therapist
Susquehanna Valley Medical Specialties, Pc - NPI 1386637296
Susquehanna Valley Medical Specialties, Pc is a Occupational Therapist in Bloomsburg, Pennsylvania. Susquehanna Valley Medical Specialties, Pc practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Susquehanna Valley Medical Specialties, Pc is 1386637296. The last update date is 2008-05-14.
Susquehanna Valley Medical Specialties, Pc's current location address is 6850 Lows Rd, Bloomsburg, Pennsylvania. You can contact this provider via phone number 5707847300 and fax number 5707847331. The mailing address for Susquehanna Valley Medical Specialties, Pc is 6850 Lows Rd, Bloomsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susquehanna Valley Medical Specialties, Pc |
|---|---|
| Address | 6850 Lows Rd, Bloomsburg, Pennsylvania |
| Phone Number | 5707847300 |
| Fax Number | 5707847331 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Williams S Mark |
| Credentials | DO |
| Telephone Number | 5707847300 |
NPI Number Detail
| NPI Number | 1386637296 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 6850 Lows Rd |
|---|---|
| City | Bloomsburg |
| State | Pennsylvania (PA) |
| Post Code | 17815 |
| Phone Number | 5707847300 |
| Fax Number | 5707847331 |
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 |
|---|---|---|---|
| CF3900 | PA | RAILROAD MEDICARE |
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What is the Susquehanna Valley Medical Specialties, Pc's unique identification number?
The Susquehanna Valley Medical Specialties, Pc has been assigned the NPI (National Provider Identifier) Number 1386637296 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Susquehanna Valley Medical Specialties, Pc's physical address?
The Susquehanna Valley Medical Specialties, Pc is physically located at 6850 Lows Rd, in the city of Bloomsburg, PA, with the postal code 17815.
What is the area of specialization for Susquehanna Valley Medical Specialties, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susquehanna Valley Medical Specialties, Pc is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386637296 to Susquehanna Valley Medical Specialties, Pc?
The Centers for Medicare & Medicaid Services assigned the 1386637296 to Susquehanna Valley Medical Specialties, Pc on 2005-08-25.
As of what date were the Susquehanna Valley Medical Specialties, Pc's details last updated?
The information pertaining to the Susquehanna Valley Medical Specialties, Pc, including its address, specialty, and other details, was most recently updated on 2008-05-14.