Bobby Dewain Procell in Springfield - Occupational Therapist
Bobby Dewain Procell - NPI 1275704827
Bobby Dewain Procell is a Occupational Therapist in Springfield, Missouri. Bobby Dewain Procell practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Bobby Dewain Procell is 1275704827. The last update date is 2008-03-21.
Bobby Dewain Procell's current location address is 2133 W Melbourne Ct, Springfield, Missouri. You can contact this provider via phone number 4178825416. The mailing address for Bobby Dewain Procell is 2133 W Melbourne Ct, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bobby Dewain Procell |
|---|---|
| Address | 2133 W Melbourne Ct, Springfield, Missouri |
| Phone Number | 4178825416 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.T. |
NPI Number Detail
| NPI Number | 1275704827 |
|---|---|
| Provider Enumeration Date | 2008-03-21 |
| Last Updated Date | 2008-03-21 |
Provider Mailing Address Detail
| Address | 2133 W Melbourne Ct |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658101909 |
| Phone Number | 4178825416 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 4232 |
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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 Bobby Dewain Procell by the Centers for Medicare & Medicaid Services?
The Bobby Dewain Procell has been assigned the NPI (National Provider Identifier) 1275704827 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 Bobby Dewain Procell's facilities are situated?
The facilities of Bobby Dewain Procell are physically located at the following address: 2133 W Melbourne Ct, Springfield, MO, 658101909.
What is Bobby Dewain Procell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bobby Dewain Procell is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275704827 to Bobby Dewain Procell?
The Centers for Medicare & Medicaid Services originally issued the 1275704827 to Bobby Dewain Procell on 2008-03-21.
As of what date were the Bobby Dewain Procell's details last updated?
The information pertaining to the Bobby Dewain Procell, including its address, specialty, and other details, was most recently updated on 2008-03-21.