Individual
BRANDI MASHELL SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
2055 HERITAGE DR, MARTINSVILLE, IN 46151-3158
(765) 342-3305
(765) 342-9575
Mailing address
3020 SOUTHAMPTON DR, MARTINSVILLE, IN 46151-8004
(317) 445-2603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004600A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31004600A
INDIANA PROFESSIONAL LICENSE
IN
Enumeration date
12/16/2009
Last updated
12/16/2009
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