Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | ||
N | 2251E1200X | Ergonomics | ||
N | 225XE1200X | Ergonomics | ||
Y | 225XH1200X | Occupational Therapist - Hand |
NPI | 1073569588 |
---|---|
Provider Name | Eric William Spreeman |
First Address | Savannah, GA 31406-4801 |
Second Address | Bluffton, SC 29910-2991 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 23/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0446652 | (05) | TN |
3156797 | BCBST - GROUP NUMBER (01) | TN |