Individual
JEAN MARIE SPOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
315 E MARY LN, GILBERT, AZ 85295-1959
(480) 699-5894
Mailing address
315 E MARY LN, GILBERT, AZ 85295-1959
(480) 699-5894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5779
AZ
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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