Individual
JADA CHEYENE SPICELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
700 E BRIGHTON AVE, SYRACUSE, NY 13205-2201
(315) 469-5570
Mailing address
2299 CUMBERLAND CITY RD, DOVER, TN 37058-6166
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3023
TN
224Z00000X
Occupational Therapy Assistant
Primary
9639
NY
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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