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NPI Code Detail

MEDICARE: KIMBERLY ANNE SPIRRISON

MEDICARE: KIMBERLY ANNE SPIRRISON
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 Therapist106945TX

General Provider Information

NPI Number : 1528187093
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANNE SPIRRISON
Provider Business Mailing Address
First Line : 614 WALTER HILL DR
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75050-3756
Country : US
Telephone Number : 469-533-2838
Fax Number :
Provider Business Practice Location Address
First Line : 2535 LONE STAR DR
Second Line :
City : DALLAS
State : TX
Zip : 75212-6313
Country : US
Telephone Number : 469-533-2838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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Directions to “ KIMBERLY ANNE SPIRRISON ” Practice Location

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