Martha Sloan Lake in Pulaski - Occupational Therapist

Martha Sloan Lake - NPI 1689701948

Martha Sloan Lake is a Occupational Therapist in Pulaski, Tennessee. Martha Sloan Lake practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Martha Sloan Lake is 1689701948. The last update date is 2007-07-08.

Martha Sloan Lake's current location address is 203 Village Sq, Pulaski, Tennessee. You can contact this provider via phone number 9314245588 and fax number 9314245590. The mailing address for Martha Sloan Lake is 203 Village Sq, Pulaski, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Martha Sloan Lake
Address 203 Village Sq, Pulaski, Tennessee
Phone Number 9314245588
Fax Number 9314245590
Sole Proprietor N
Credentials OT

NPI Number Detail

NPI Number 1689701948
Provider Enumeration Date 2007-02-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 203 Village Sq
City Pulaski
State Tennessee (TN)
Post Code 384782929
Phone Number 9314245588
Fax Number 9314245590

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
4069718 TN BLUE CROSS PROVIDER #

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FAQs about Martha Sloan Lake

What is the unique identifier code issued to Martha Sloan Lake by the Centers for Medicare & Medicaid Services (CMS)?

The Martha Sloan Lake has been assigned the NPI (National Provider Identifier) 1689701948. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Martha Sloan Lake?

The Martha Sloan Lake is situated at 203 Village Sq, in the city of Pulaski, state of TN, with the zip code 384782929.

What is Martha Sloan Lake'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 Martha Sloan Lake 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 1689701948 to Martha Sloan Lake?

The Centers for Medicare & Medicaid Services assigned the 1689701948 to Martha Sloan Lake on 2007-02-27.

When was the information regarding Martha Sloan Lake, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Martha Sloan Lake, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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