Doctor Name: | MRS. MARSHA DAWN SPAIN |
NPI Number: | 1124219803 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | R3578 |
Business Practice Address: | 2582 Cerulean Rd Cadiz, KY - 422119605 |
Business Phone Number: | 2705223236 |
Business Fax Number: | 2705220825 |
Mailing Address: | 890 Billy Goat Hill Rd, HOPKINSVILLE |
State: | KY |
Postal Code: | 422401146 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XN1300X |
License Number: | R3578 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Neurorehabilitation |
Taxonomy Definition: |