Provider Demographics
NPI:1518001700
Name:SPIGNER, JANICE CAROL (PT)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:CAROL
Last Name:SPIGNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3238 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2416
Mailing Address - Country:US
Mailing Address - Phone:361-879-0710
Mailing Address - Fax:
Practice Address - Street 1:101 BALDWIN BLVD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3805
Practice Address - Country:US
Practice Address - Phone:361-698-1848
Practice Address - Fax:361-698-2811
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1061562225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist