Gabriel T Evenson in Fargo - Occupational Therapist

Gabriel T Evenson - NPI 1083742597

Gabriel T Evenson is a Occupational Therapist in Fargo, North Dakota. Gabriel T Evenson practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Gabriel T Evenson is 1083742597. The last update date is 2007-07-18.

Gabriel T Evenson's current location address is 4425 47th St. S, Fargo, North Dakota. You can contact this provider via phone number 7012008181. The mailing address for Gabriel T Evenson is 4425 47th St. S, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gabriel T Evenson
Address 4425 47th St. S, Fargo, North Dakota
Phone Number 7012008181
Fax Number
Sole Proprietor Y
Credentials MOTRL

NPI Number Detail

NPI Number 1083742597
Provider Enumeration Date 2007-02-28
Last Updated Date 2007-07-18

Provider Mailing Address Detail

Address 4425 47th St. S
City Fargo
State North Dakota (ND)
Post Code 58104
Phone Number 7012008181
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 995
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
27813 ND BLUE CROSS BLUE SHIELD OF

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FAQs about Gabriel T Evenson

What is the Gabriel T Evenson's unique identification number?

The Gabriel T Evenson has been assigned the NPI (National Provider Identifier) Number 1083742597 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Gabriel T Evenson is located?

The Gabriel T Evenson is situated at the following address: 4425 47Th St. S, Fargo, ND, 58104.

What is Gabriel T Evenson's area of expertise and its corresponding taxonomy classification?

The Gabriel T Evenson's field of specialization is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their areas of practice.

When did Gabriel T Evenson receive its 1083742597 assignment?

The Gabriel T Evenson was assigned its 1083742597 on 2007-02-28, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Gabriel T Evenson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gabriel T Evenson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-18.

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