Individual
TINA SPANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
W2292 COUNTY HIGHWAY H, CHILI, WI 54420
(715) 486-6307
Mailing address
W2292 COUNTY HIGHWAY H, CHILI, WI 54420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1834-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40764300
—
WI
Enumeration date
05/23/2007
Last updated
05/29/2026
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