Mary Mae Spruill
Occupational Therapy Assistant
12997 Nettles Dr
Newport News
, Virginia 23602-6913
Mary Mae Spruill
Occupational Therapy Assistant
12997 Nettles Dr
Newport News
, Virginia 23602-6913
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mary Mae Spruill
- 19040 White Oak Dr Lot 129
- Smithfield, VA
- Zip : 23430-6143
- Phone :
Second Address
- Mary Mae Spruill
- 12997 Nettles Dr
- Newport News, VA
- Zip : 23602-6913
- Phone : (757) 249-8880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant |
National Provider Identifier
| NPI | 1003367392 |
|---|---|
| Provider Name | Mary Mae Spruill |
| First Address | Smithfield, VA 23430-6143 |
| Second Address | Newport News, VA 23602-6913 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2016 |
| Last Update Date | 20/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.