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NPI Code Detail

MEDICARE: SARAH RENEE SPICER OTR/L

MEDICARE: SARAH RENEE SPICER 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
1225X00000XOccupational Therapist0119004976VA

General Provider Information

NPI Number : 1013149210
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH RENEE SPICER OTR/L
Provider Business Mailing Address
First Line : 19465 DEERFIELD AVE STE 201
Second Line :
City : LANSDOWNE
State : VA
Zip : 20176-1703
Country : US
Telephone Number : 703-858-7620
Fax Number :
Provider Business Practice Location Address
First Line : 19465 DEERFIELD AVE STE 201
Second Line :
City : LANSDOWNE
State : VA
Zip : 20176-1703
Country : US
Telephone Number : 703-858-7620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2009
Last Update Date : 08/14/2019

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Directions to “ SARAH RENEE SPICER OTR/L” Practice Location

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