Provider Demographics
NPI:1487909099
Name:SPAHN, ANNA ALEXANDRA (OTR/L)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:ALEXANDRA
Last Name:SPAHN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 WINTERBERRY CT
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2414
Mailing Address - Country:US
Mailing Address - Phone:443-310-0966
Mailing Address - Fax:
Practice Address - Street 1:65 WINTERBERRY CT
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-2414
Practice Address - Country:US
Practice Address - Phone:443-310-0966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06402225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist