Danielle Marie Sperow, COTA

Individual provider Active NPI Occupational Therapy Assistant · Phelps, KY

NPI 1710140751 · NPPES record last updated Jul 9, 2008

Key facts

NPI
1710140751
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
KY-A3648 (KY)
Practice address
60 Phillips Branch Rd
Phelps, KY 41553-9061
Phone
(606) 456-8725
Fax
(606) 456-4938
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
KY-A3648KYMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X KY-A3648 KY Yes

Addresses

Primary practice location

60 Phillips Branch Rd
Phelps, KY 41553-9061

Mailing address

3313 Hale Mountain Rd
Clinchco, VA 24226-8428
Phone (276) 835-1369

Other providers in Phelps, KY

All providers in Phelps, KY · Occupational Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.