Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT284 | FL |
NPI | 1124350590 |
---|---|
Provider Name | Mr. David Alan Spalsbury |
First Address | Sarasota, FL 34233-1207 |
Second Address | Sarasota, FL 34233-1207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2010 |
Last Update Date | 09/02/2010 |