Doctor Name: | MRS. MARY F SPICKARD |
NPI Number: | 1063530426 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 05002122A |
Business Practice Address: | 10251 Us 35 So Hamlet, IN - 46532 |
Business Phone Number: | 2193935930 |
Business Fax Number: | 2193935638 |
Mailing Address: | 10251 South Us Hwy 35, HAMLET |
State: | IN |
Postal Code: | 46532 |
Phone Number: | 2193935930 |
Fax Number: | 2193935638 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 05002122A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |