John William Spears Jr.
Occupational Therapy Assistant in Port Isabel, TX. Individual provider (NPI-1).
NPI number1093290256
StatusActive
Last updated in NPPESOct 3, 2018
Details
- NPI
- 1093290256
- Entity type
- Individual (NPI-1)
- Name
- John William Spears Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2018
- Last updated
- Oct 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 209240 | TX | Yes |
Practice location
1200 Tx-100Port Isabel, TX 78578
Phone 956-943-2248
Mailing address
1200 Tx-100Port Isabel, TX 78578
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