Spaventa, Judith A

Spaventa, Judith A is an individual health care provider with primary practice located at 106 Locomotive Ln Unit 202, Mooresville NC 28115-8522. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Spaventa, Judith A can be contacted via phone (828) 446-9463.

Contact Information

Primary practice address
106 Locomotive Ln Unit 202 Mooresville NC 28115-8522
Phone: (828) 446-9463
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 6866 North Carolina

Profile Details

NPI number 1548420862
LBN Legal business name Spaventa, Judith A
Credentials MOT,OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Apr 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548420862 NPPES
North Carolina MEDICAID 7302089
North Carolina Other 1548420862

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