Individual
MRS. PAMELA ANN SPOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2400 COLLEGE AVE, GOSHEN, IN 46528-5010
(574) 528-0406
Mailing address
1260 EASTGATE DR, KENDALLVILLE, IN 46755-9306
(260) 318-2096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99032525A
IN
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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