DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SUSAN A SPACAGNA OT

MEDICARE: SUSAN A SPACAGNA OT
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 Therapist003729OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1003729OTHEROHOHIO OT PT ATC BOARD

General Provider Information

NPI Number : 1013907534
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN A SPACAGNA OT
Provider Business Mailing Address
First Line : 533 E MAIN ST
Second Line :
City : RAVENNA
State : OH
Zip : 44266-3218
Country : US
Telephone Number : 330-297-9020
Fax Number : 330-297-9095
Provider Business Practice Location Address
First Line : 2500 BRADY LAKE RD
Second Line :
City : RAVENNA
State : OH
Zip : 44266-1610
Country : US
Telephone Number : 330-678-2400
Fax Number : 330-673-3714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1831189406 — BARBARA E MOLEDOR PT
Practice Location Address:
2500 BRADY LAKE RD
RAVENNA, OH
44266-1610
Practice Phone: 330-678-2400
Practice Fax: 330-673-3714
1467442988 — LESLIE J LUCAS OTR L
Practice Location Address:
2500 BRADY LAKE RD
RAVENNA, OH
44266-1610
Practice Phone: 330-678-2400
Practice Fax: 330-673-3714
1396772695 — KAREN J DEDINSKY SLP
Practice Location Address:
2500 BRADY LAKE RD
RAVENNA, OH
44266-1610
Practice Phone: 330-678-2400
Practice Fax: 330-673-3714
1912936287 — MS. MICHELE MARLEEN LUCZYWO-GRUNERT PTA
Practice Location Address:
2500 BRADY LAKE RD
RAVENNA, OH
44266-1610
Practice Phone: 330-678-2400
Practice Fax: 330-673-3714
1598770257 — MRS. BRENDA BARNES TOUSLEY MS
Practice Location Address:
2500 BRADY LAKE RD
RAVENNA, OH
44266-1610
Practice Phone: 330-678-2400
Practice Fax: 330-673-3714
1548193592 — SOPHIA BUTTO
Practice Location Address:
4300 LYNN RD STE 201
RAVENNA, OH
44266-7838
Practice Phone: 216-264-0008
Practice Fax:

Directions to “ SUSAN A SPACAGNA OT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.