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Individual

MARY SPIEHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3624 S GLASGOW CIRCLE, BLOOMINGTON, IN 47403-2629
(812) 340-2121
Mailing address
3624 S GLASGOW CIRCLE, BLOOMINGTON, IN 47403-2629

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06002685A
IN
225200000X
Physical Therapy Assistant
8812
CA
225X00000X
Occupational Therapist
110111
NV
225X00000X
Occupational Therapist
Primary
31004655A
IN

Other

Enumeration date
03/26/2007
Last updated
07/20/2014
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