Crystal A Gerondale in Green Bay - Occupational Therapist
Crystal A Gerondale - NPI 1962668079
Crystal A Gerondale is a Occupational Therapist in Green Bay, Wisconsin. Crystal A Gerondale practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Crystal A Gerondale is 1962668079. The last update date is 2020-05-01.
Crystal A Gerondale's current location address is 744 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204457226 and fax number 9204457238. The mailing address for Crystal A Gerondale is 744 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal A Gerondale |
|---|---|
| Address | 744 S Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9204457226 |
| Fax Number | 9204457238 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1962668079 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2020-05-01 |
Provider Mailing Address Detail
| Address | 744 S Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543013505 |
| Phone Number | 9204457226 |
| Fax Number | 9204457238 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 3527-26 |
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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 Crystal A Gerondale by the Centers for Medicare & Medicaid Services?
The Crystal A Gerondale has been assigned the NPI (National Provider Identifier) 1962668079 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Crystal A Gerondale's facilities are situated?
The facilities of Crystal A Gerondale are physically located at the following address: 744 S Webster Ave, Green Bay, WI, 543013505.
What is Crystal A Gerondale's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Crystal A Gerondale is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962668079 to Crystal A Gerondale?
The Centers for Medicare & Medicaid Services originally issued the 1962668079 to Crystal A Gerondale on 2008-07-29.
As of what date were the details related to Crystal A Gerondale most recently updated or revised?
The information pertaining to Crystal A Gerondale, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-01.
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