Paul Lindsay Pettyjohn in San Bernardino - Occupational Therapist
Paul Lindsay Pettyjohn - NPI 1952469686
Paul Lindsay Pettyjohn is a Occupational Therapist in San Bernardino, California. Paul Lindsay Pettyjohn practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Paul Lindsay Pettyjohn is 1952469686. The last update date is 2021-08-30.
Paul Lindsay Pettyjohn's current location address is 1845 Business Center Dr Ste 127, San Bernardino, California. You can contact this provider via phone number 9098909030 and fax number 9098904393. The mailing address for Paul Lindsay Pettyjohn is 1845 Business Center Dr Ste 127, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Lindsay Pettyjohn |
|---|---|
| Address | 1845 Business Center Dr Ste 127, San Bernardino, California |
| Phone Number | 9098909030 |
| Fax Number | 9098904393 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1952469686 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2021-08-30 |
Provider Mailing Address Detail
| Address | 1845 Business Center Dr Ste 127 |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924083434 |
| Phone Number | 9098909030 |
| Fax Number | 9098904393 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 15275 |
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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 |
|---|---|---|---|
| 15275 | CA | OCCUPATIONAL THERAPY |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Paul Lindsay Pettyjohn by the Centers for Medicare & Medicaid Services?
The Paul Lindsay Pettyjohn has been issued the NPI (National Provider Identifier) 1952469686, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Paul Lindsay Pettyjohn's physical address?
The Paul Lindsay Pettyjohn is physically located at 1845 Business Center Dr Ste 127, in the city of San Bernardino, CA, with the postal code 924083434.
What is the Paul Lindsay Pettyjohn's area of specialization and corresponding taxonomy classification?
The Paul Lindsay Pettyjohn's specialty field is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1952469686 to Paul Lindsay Pettyjohn?
The Centers for Medicare & Medicaid Services assigned the 1952469686 to Paul Lindsay Pettyjohn on 2006-12-05.
When was the Paul Lindsay Pettyjohn's information last updated?
The Paul Lindsay Pettyjohn's information was last updated on 2021-08-30.