Basic Information
| Provider Information | |||||||||
| NPI: | 1437356144 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SPRINGER | ||||||||
| FirstName: | DEBRA | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | OTR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 410 N MAPLE ST | ||||||||
| Address2: | |||||||||
| City: | CRESTON | ||||||||
| State: | IA | ||||||||
| PostalCode: | 508012344 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6417824963 | ||||||||
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| Practice Location | |||||||||
| Address1: | 111 E VAN BUREN ST | ||||||||
| Address2: | |||||||||
| City: | LENOX | ||||||||
| State: | IA | ||||||||
| PostalCode: | 508511142 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6413332226 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 00107 | IA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.