Professional Rehabilitation Center Inc in Fargo - Occupational Therapist

Professional Rehabilitation Center Inc - NPI 1215014105

Professional Rehabilitation Center Inc is a Occupational Therapist in Fargo, North Dakota. Professional Rehabilitation Center Inc practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Professional Rehabilitation Center Inc is 1215014105. The last update date is 2019-10-29.

Professional Rehabilitation Center Inc's current location address is 4450 31st Ave S Ste 104, Fargo, North Dakota. You can contact this provider via phone number 7014519417 and fax number 7012980066. The mailing address for Professional Rehabilitation Center Inc is 4450 31st Ave S Ste 104, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Professional Rehabilitation Center Inc
Address 4450 31st Ave S Ste 104, Fargo, North Dakota
Phone Number 7014519417
Fax Number 7012980066
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Fonder D Tina
Telephone Number 7014519417

NPI Number Detail

NPI Number 1215014105
Provider Enumeration Date 2006-11-01
Last Updated Date 2019-10-29

Provider Mailing Address Detail

Address 4450 31st Ave S Ste 104
City Fargo
State North Dakota (ND)
Post Code 581044557
Phone Number 7014519417
Fax Number 7012980066

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
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
018T6PR MN BLUE PLUS OF MINNESOTA
53165 ND --
552323100 MN --
53170 ND --
O18T6PR MN BLUE CROSS BLUE SHIELD MN
5517001 ND BLUE CROSS BLUE SHIELD ND

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FAQs about Professional Rehabilitation Center Inc

What is the unique identifier code issued to Professional Rehabilitation Center Inc by the Centers for Medicare & Medicaid Services?

The Professional Rehabilitation Center Inc has been assigned the NPI (National Provider Identifier) 1215014105. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Professional Rehabilitation Center Inc's facilities are geographically located?

The facilities of Professional Rehabilitation Center Inc are physically situated at the following location: 4450 31St Ave S Ste 104, Fargo, ND, 581044557.

What is Professional Rehabilitation Center Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Professional Rehabilitation Center Inc's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.

On what date did Professional Rehabilitation Center Inc receive its 1215014105 assignment from the Centers for Medicare & Medicaid Services?

The Professional Rehabilitation Center Inc was assigned its 1215014105 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Professional Rehabilitation Center Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Professional Rehabilitation Center Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-10-29.

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