Individual
TREVOR DAVID MANSPEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR
Contact information
Practice address
3630 HICKORY RD, MISHAWAKA, IN 46545-8865
(574) 252-7225
Mailing address
719 N MAIN ST, MISHAWAKA, IN 46545-6617
(574) 850-7332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007043A
IN
Other
Enumeration date
02/04/2020
Last updated
11/27/2023
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