Individual
MICHELLE NICOLE SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1809 E BROADWAY ST # 122, OVIEDO, FL 32765-8597
(407) 359-5693
(407) 792-5693
Mailing address
7757 LAUDERDALE DR N, JACKSONVILLE, FL 32277-3772
(904) 864-7238
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15101
FL
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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