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1972757656 NPI number — KAHLILA FOWLER OTD, OTR/L,CEAS

NPI Number: 1972757656
Health Care Provider/Practitioner: KAHLILA FOWLER OTD, OTR/L,CEAS

Information about “1972757656” NPI (KAHLILA FOWLER OTD, OTR/L,CEAS) exists in 1972757656 in HTML format HTML  |  1972757656 in plain Text format TXT  |  1972757656 in PDF (Portable Document Format) PDF  |  1972757656 in an XML format XML  formats.

NPI Number : 1972757656 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972757656",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOWLER",
    "FirstName": "KAHLILA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTD, OTR/L,CEAS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2297",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ADA",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74821-2297",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-761-7740",
    "MailingAddressFaxNumber": "580-421-9491",
    "FirstLinePracticeLocationAddress": "522 W 16TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ADA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74820-7610",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-761-7740",
    "PracticeLocationAddressFaxNumber": "580-421-9491",
    "EnumerationDate": "11/08/2008",
    "LastUpdateDate": "02/07/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "1433",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "225XG0600X",
          "TaxonomyName": "Gerontology Occupational Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XE1200X",
          "TaxonomyName": "Ergonomics Occupational Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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