Kellie Mcbroom in Commerce - Occupational Therapist
Kellie Mcbroom - NPI 1801804562
Kellie Mcbroom is a Occupational Therapist in Commerce, Texas. Kellie Mcbroom practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Kellie Mcbroom is 1801804562. The last update date is 2007-07-08.
Kellie Mcbroom's current location address is 2544 Mangum St, Commerce, Texas. You can contact this provider via phone number 9038867669 and fax number 9038867679. The mailing address for Kellie Mcbroom is 2544 Mangum St, Commerce, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie Mcbroom |
|---|---|
| Address | 2544 Mangum St, Commerce, Texas |
| Phone Number | 9038867669 |
| Fax Number | 9038867679 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1801804562 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2544 Mangum St |
|---|---|
| City | Commerce |
| State | Texas (TX) |
| Post Code | 754283515 |
| Phone Number | 9038867669 |
| Fax Number | 9038867679 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 110810 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8T3108 | TX | BCBS PROVIDER |
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What is the Kellie Mcbroom's unique identification number?
The Kellie Mcbroom has been assigned the NPI (National Provider Identifier) Number 1801804562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kellie Mcbroom located?
The Kellie Mcbroom is located at 2544 Mangum St, Commerce, TX 754283515.
What is Kellie Mcbroom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kellie Mcbroom's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
When was the Kellie Mcbroom's 1801804562 issued?
The Kellie Mcbroom's 1801804562 was issued on 2006-08-04.
As of what date were the Kellie Mcbroom's details last updated?
The information pertaining to the Kellie Mcbroom, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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