Amy Eiden in Pleasant Prairie - Occupational Therapist

Amy Eiden - NPI 1104092253

Amy Eiden is a Occupational Therapist in Pleasant Prairie, Wisconsin. Amy Eiden practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Amy Eiden is 1104092253. The last update date is 2008-05-07.

Amy Eiden's current location address is 10330 Prairie Ridge Blvd, Pleasant Prairie, Wisconsin. You can contact this provider via phone number 2626122855 and fax number 2626122893. The mailing address for Amy Eiden is 10330 Prairie Ridge Blvd, Pleasant Prairie, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy Eiden
Address 10330 Prairie Ridge Blvd, Pleasant Prairie, Wisconsin
Phone Number 2626122855
Fax Number 2626122893
Sole Proprietor N
Credentials OTR

NPI Number Detail

NPI Number 1104092253
Provider Enumeration Date 2008-05-07
Last Updated Date 2008-05-07

Provider Mailing Address Detail

Address 10330 Prairie Ridge Blvd
City Pleasant Prairie
State Wisconsin (WI)
Post Code 531581947
Phone Number 2626122855
Fax Number 2626122893

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 2574-026
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
40829700 WI --

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FAQs about Amy Eiden

What is the Amy Eiden's unique identification number?

The Amy Eiden has been assigned the NPI (National Provider Identifier) Number 1104092253 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Amy Eiden located?

The Amy Eiden is located at 10330 Prairie Ridge Blvd, Pleasant Prairie, WI 531581947.

What is the Amy Eiden's specialty and taxonomy code?

The Amy Eiden's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.

On what date did the Amy Eiden receive its 1104092253 assignment from the Centers for Medicare & Medicaid Services?

The Amy Eiden was assigned its 1104092253 by the Centers for Medicare & Medicaid Services on 2008-05-07.

As of what date were the details pertaining to Amy Eiden last refreshed?

The information related to the Amy Eiden, including its address, specialty, and other relevant details, was last updated on 2008-05-07.

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