Marea A Dricken in Fond Du Lac - Occupational Therapist
Marea A Dricken - NPI 1205879962
Marea A Dricken is a Occupational Therapist in Fond Du Lac, Wisconsin. Marea A Dricken practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Marea A Dricken is 1205879962. The last update date is 2007-08-10.
Marea A Dricken's current location address is 421 Camelot Dr, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209237940. The mailing address for Marea A Dricken is 421 Camelot Dr, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marea A Dricken |
|---|---|
| Address | 421 Camelot Dr, Fond Du Lac, Wisconsin |
| Phone Number | 9209237940 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT, OTR |
NPI Number Detail
| NPI Number | 1205879962 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2007-08-10 |
Provider Mailing Address Detail
| Address | 421 Camelot Dr |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 54935 |
| Phone Number | 9209237940 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 678-026 |
|
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 |
|---|---|---|---|
| 40341200 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marea A Dricken by the Centers for Medicare & Medicaid Services (CMS)?
The Marea A Dricken has been assigned the NPI (National Provider Identifier) 1205879962. 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 Marea A Dricken?
The Marea A Dricken is situated at 421 Camelot Dr, in the city of Fond Du Lac, state of WI, with the zip code 54935.
What is the area of specialization for Marea A Dricken, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marea A Dricken 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 issue the 1205879962 to Marea A Dricken?
The Marea A Dricken received its 1205879962 assignment from the Centers for Medicare & Medicaid Services on 2006-06-13.
As of what date were the Marea A Dricken's details last updated?
The information pertaining to the Marea A Dricken, including its address, specialty, and other details, was most recently updated on 2007-08-10.