Provider Demographics
NPI:1245069103
Name:SPANIOL, GRACE
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:SPANIOL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8850 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2104
Mailing Address - Country:US
Mailing Address - Phone:913-669-6055
Mailing Address - Fax:
Practice Address - Street 1:3811 W 52ND ST
Practice Address - Street 2:
Practice Address - City:ROELAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66205-1458
Practice Address - Country:US
Practice Address - Phone:913-579-8556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist