MEDICARE: SONGBIRD THERAPY PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1023689916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONGBIRD THERAPY PLLC

Provider Business Mailing Address
First Line	:	1424 CLARENCE SECREST RD
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28110-8055
Country	:	US
Telephone Number	:	704-999-7173
Fax Number	:

Provider Business Practice Location Address
First Line	:	1424 CLARENCE SECREST RD
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28110-8055
Country	:	US
Telephone Number	:	704-999-7173
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOANNA HELENE SPIELVOGEL
Credential	:	PHD CCC SLP
Telephone Number	:	704-999-7173

Provider Enumeration Date	:	07/02/2021
Last Update Date	:	07/02/2021

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Directions to “SONGBIRD THERAPY PLLC ” Practice Location

Language	Start Address	Practice Location

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