Angelika W Brocklehurst in Decatur - Pediatrics
Angelika W Brocklehurst - NPI 1861690489
Angelika W Brocklehurst is a Pediatrics in Decatur, Georgia. Angelika W Brocklehurst practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Angelika W Brocklehurst is 1861690489. The last update date is 2014-10-10.
Angelika W Brocklehurst's current location address is 121 Ponce De Leon Ct, Decatur, Georgia. You can contact this provider via phone number 4047697584 and fax number 4043939263. The mailing address for Angelika W Brocklehurst is 121 Ponce De Leon Ct, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelika W Brocklehurst |
|---|---|
| Address | 121 Ponce De Leon Ct, Decatur, Georgia |
| Phone Number | 4047697584 |
| Fax Number | 4043939263 |
| Sole Proprietor | Y |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1861690489 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2014-10-10 |
Provider Mailing Address Detail
| Address | 121 Ponce De Leon Ct |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300301961 |
| Phone Number | 4047697584 |
| Fax Number | 4043939263 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | OT004318 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 863580759A | GA | -- |
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What is the unique 10-digit identifier code issued to Angelika W Brocklehurst by the Centers for Medicare & Medicaid Services?
The Angelika W Brocklehurst has been assigned the NPI (National Provider Identifier) 1861690489 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Angelika W Brocklehurst located?
The Angelika W Brocklehurst is located at 121 Ponce De Leon Ct, Decatur, GA 300301961.
What is the area of specialization for Angelika W Brocklehurst, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Angelika W Brocklehurst is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 225Xp0200X.
When was the Angelika W Brocklehurst's 1861690489 issued?
The Angelika W Brocklehurst's 1861690489 was issued on 2007-07-05.
When was the Angelika W Brocklehurst's information last updated?
The Angelika W Brocklehurst's information was last updated on 2014-10-10.