MEDICARE: ERIN SPANIOL OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	7253	NC

General Provider Information

NPI Number	:	1427386846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN SPANIOL OTR/L

Provider Business Mailing Address
First Line	:	10620 STONE BUNKER DR
Second Line	:
City	:	MINT HILL
State	:	NC
Zip	:	28227-7036
Country	:	US
Telephone Number	:	704-771-0051
Fax Number	:	800-330-4830

Provider Business Practice Location Address
First Line	:	10620 STONE BUNKER DR
Second Line	:
City	:	MINT HILL
State	:	NC
Zip	:	28227-7036
Country	:	US
Telephone Number	:	704-771-0051
Fax Number	:	800-330-4830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2009
Last Update Date	:	11/23/2009

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