Individual
RANDALL SCOTT SPERGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L, CLT
Contact information
Practice address
133 LOCKWOOD HOLLOW RD, DOVER, TN 37058-5190
(931) 232-9612
Mailing address
133 LOCKWOOD HOLLOW RD, DOVER, TN 37058-5190
(931) 232-9612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3373
TN
Other
Enumeration date
08/04/2008
Last updated
02/03/2010
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