Lisa Kay Spoden in Crystal Lake - Occupational Therapy Assistant
Lisa Kay Spoden - NPI 1417111832
Lisa Kay Spoden is a Occupational Therapy Assistant in Crystal Lake, Illinois. Lisa Kay Spoden practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Lisa Kay Spoden is 1417111832. The last update date is 2008-07-15.
Lisa Kay Spoden's current location address is 471 W Terra Cotta Ave, Crystal Lake, Illinois. You can contact this provider via phone number 8154550550. The mailing address for Lisa Kay Spoden is 471 W Terra Cotta Ave, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Kay Spoden |
|---|---|
| Address | 471 W Terra Cotta Ave, Crystal Lake, Illinois |
| Phone Number | 8154550550 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA/L |
NPI Number Detail
| NPI Number | 1417111832 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2008-07-15 |
Provider Mailing Address Detail
| Address | 471 W Terra Cotta Ave |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600143434 |
| Phone Number | 8154550550 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 57000847 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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What is the Lisa Kay Spoden's unique identification number?
The Lisa Kay Spoden has been assigned the NPI (National Provider Identifier) Number 1417111832 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Lisa Kay Spoden?
The Lisa Kay Spoden is situated at 471 W Terra Cotta Ave, in the city of Crystal Lake, state of IL, with the zip code 600143434.
What is the Lisa Kay Spoden's specialty and taxonomy code?
The Lisa Kay Spoden's specialty is Occupational Therapy Assistant, and the corresponding taxonomy code is 224Z00000X.
When did the Lisa Kay Spoden receive its 1417111832?
The Lisa Kay Spoden was issued its 1417111832 on 2008-07-15, which is the date when the organization was assigned this unique identifier.
When was the information regarding Lisa Kay Spoden, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Kay Spoden, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-15.
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