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NPI Code Detail

MEDICARE: MS. CHRISTINA MARIE SPANGENBERG

MEDICARE: MS. CHRISTINA MARIE SPANGENBERG
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 Therapist46TR00599700NJ
2225X00000XOccupational Therapist.5201SC

General Provider Information

NPI Number : 1316282643
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA MARIE SPANGENBERG
Provider Business Mailing Address
First Line : 311 SOUTHBROOK DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-9748
Country : US
Telephone Number : 862-266-4677
Fax Number :
Provider Business Practice Location Address
First Line : 714 S LAKE DR STE 150
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-3473
Country : US
Telephone Number : 803-642-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2012
Last Update Date : 03/17/2018

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Directions to “ MS. CHRISTINA MARIE SPANGENBERG ” Practice Location

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