Healthcare Provider Details

I. General information

NPI: 1982984381
Provider Name (Legal Business Name): STEPHANIE C SPINELLI & ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2011
Last Update Date: 02/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 LAKE BEAUTY DR
ORLANDO FL
32806-2037
US

IV. Provider business mailing address

22 LAKE BEAUTY DR
ORLANDO FL
32806-2037
US

V. Phone/Fax

Practice location:
  • Phone: 407-896-1152
  • Fax:
Mailing address:
  • Phone: 407-896-1152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. KASEY LYNN GREBOSZ
Title or Position: OCCUPATIONAL THERAPY ASSISTANT
Credential:
Phone: 386-848-2749