Individual
CHRISTA SPOONEYBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5787 MICHAEL DR, MILTON, FL 32583-9587
(850) 206-0593
Mailing address
5787 MICHAEL DR, MILTON, FL 32583-9587
(850) 206-0593
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT8779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890734000
—
FL
Enumeration date
09/30/2008
Last updated
05/04/2023
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