Individual
TERRY STEPHEN SPIEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1801 TECHNOLOGY DRIVE, WILLMAR, MN 56201
(320) 231-5982
Mailing address
1113 CAMPBELL AVE NW, WILLMAR, MN 56201-2480
(320) 235-3528
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200411
MN
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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