Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OC09889 | PA |
Y | 225XG0600X | Occupational Therapist - Gerontology | OC 09889 | PA |
NPI | 1841425436 |
---|---|
Provider Name | Wendy Gayle Spielman |
First Address | Malvern, PA 19355-2129 |
Second Address | Paoli, PA 19301-2104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2009 |
Last Update Date | 26/05/2009 |