Provider Demographics
NPI:1245124882
Name:MOVING MOUNTAIN OCCUPATIONAL THERAPY SERVICES
Entity type:Organization
Organization Name:MOVING MOUNTAIN OCCUPATIONAL THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MALLORY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPANGLER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, OTD
Authorized Official - Phone:740-501-3334
Mailing Address - Street 1:793 FRANCIS DR
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:OH
Mailing Address - Zip Code:43056-1644
Mailing Address - Country:US
Mailing Address - Phone:740-501-3334
Mailing Address - Fax:740-539-8823
Practice Address - Street 1:110 N GALWAY DR
Practice Address - Street 2:
Practice Address - City:GRANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43023-9572
Practice Address - Country:US
Practice Address - Phone:740-501-3334
Practice Address - Fax:740-539-8823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty