is a Occupational Therapist in , . practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for is 1366494932. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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| Address | , , |
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1366494932 |
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| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
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| Taxonomy | 225X00000X |
| Licence No | 3033 |
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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 |
|---|---|---|---|
| CH4394 | TN | MEDICARE-RAILROAD GROUP ID | |
| 3655896 | TN | -- | |
| 4054257 | TN | BLUE CROSS |
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