Individual
CALVIN SPEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
12001 SHELBYVILLE RD, SUITE C, LOUISVILLE, KY 40243-3008
(502) 244-5044
(502) 244-5190
Mailing address
12001 SHELBYVILLE RD, SUITE C, LOUISVILLE, KY 40243-3008
(502) 244-5044
(502) 244-5190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2563
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343514
ANTHEM NUMBER
KY
Enumeration date
03/08/2007
Last updated
08/07/2014
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