Provider Demographics
NPI:1811101553
Name:SPOERL, JAMES JOSEPH (LPT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSEPH
Last Name:SPOERL
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 PEARL RD STE 2
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-6477
Mailing Address - Country:US
Mailing Address - Phone:330-220-2001
Mailing Address - Fax:330-220-2232
Practice Address - Street 1:1930 PEARL RD STE 2
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-6477
Practice Address - Country:US
Practice Address - Phone:330-220-2001
Practice Address - Fax:330-220-2232
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003468225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist