MEDICARE: STACY LYNN SPOHN OTR/L, CHT

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
1	225XH1200X	Hand Occupational Therapist	6442	SC

General Provider Information

NPI Number	:	1538118294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY LYNN SPOHN OTR/L, CHT

Provider Business Mailing Address
First Line	:	39 HOSPITAL CENTER CMNS
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-2837
Country	:	US
Telephone Number	:	843-689-2233
Fax Number	:	843-689-2234

Provider Business Practice Location Address
First Line	:	39 HOSPITAL CENTER CMNS
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-2837
Country	:	US
Telephone Number	:	843-689-2233
Fax Number	:	843-689-2234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	02/21/2025

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