Organization
SPOT SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PORTER (PRESIDENT SPOT SERVICES PC)
(812) 477-5000
Entity
Organization
Contact information
Practice address
5401 VOGEL RD, SUITE 140, EVANSVILLE, IN 47715-7832
(812) 477-5000
(812) 477-5002
Mailing address
5401 VOGEL RD, SUITE 140, EVANSVILLE, IN 47715-7832
(812) 477-5000
(812) 477-5002
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201364600A
—
IN
Enumeration date
05/06/2009
Last updated
09/24/2016
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