Provider Demographics
NPI:1477987006
Name:SPETNER, ELIANNA D
Entity Type:Individual
Prefix:MRS
First Name:ELIANNA
Middle Name:D
Last Name:SPETNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELIANNA
Other - Middle Name:D
Other - Last Name:FERENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31 WALKER AVE # NEW
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4022
Mailing Address - Country:US
Mailing Address - Phone:410-415-3515
Mailing Address - Fax:
Practice Address - Street 1:31 WALKER AVE
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-415-3515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-30
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07109225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist