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NPI Code Detail

MEDICARE: ANDEE SPEHAR MOTR/L

MEDICARE: ANDEE SPEHAR MOTR/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
1225XP0200XPediatric Occupational TherapistOT60305089WA

General Provider Information

NPI Number : 1497127153
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDEE SPEHAR MOTR/L
Provider Business Mailing Address
First Line : 5455 CONVERSE AVE SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98367-7808
Country : US
Telephone Number : 360-443-2719
Fax Number :
Provider Business Practice Location Address
First Line : 2689 HOOVER AVE SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3013
Country : US
Telephone Number : 360-443-2719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2015
Last Update Date : 10/21/2015

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Directions to “ ANDEE SPEHAR MOTR/L” Practice Location

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