Provider Demographics
NPI:1952571051
Name:SPRATLEN, JUDY ANN
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:ANN
Last Name:SPRATLEN
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 1:243 SANBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3551
Mailing Address - Country:US
Mailing Address - Phone:614-885-2293
Mailing Address - Fax:614-825-0336
Practice Address - Street 1:5555 GLENDON CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-3304
Practice Address - Country:US
Practice Address - Phone:614-560-6231
Practice Address - Fax:614-825-0336
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor