Basic Information
| Provider Information | |||||||||
| NPI: | 1861892432 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SPEARMAN | ||||||||
| FirstName: | DEBRA | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | OT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1850 CROWN DR. | ||||||||
| Address2: | SUITE 1114 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75234 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4699048850 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1850 CROWN DR | ||||||||
| Address2: | SUITE 1114 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752349414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4699048850 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2014 | ||||||||
| LastUpdateDate: | 11/20/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 247200000X | ATP 86772 | TX | N | Technologists, Technicians & Other Technical Service Providers | Technician, Other | 225X00000X | 107380 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.