Individual
MRS. NANCY DIANE YOHE SPARAGOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 S FERDON BLVD, SUITE C-1, CRESTVIEW, FL 32536-5252
(850) 682-8388
Mailing address
212 WHEELER PL, CRESTVIEW, FL 32539-7010
(850) 682-8388
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 3647
FL
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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