IndividualActive
Waylon Spicer, COTA
NPI 1023846201 · Low Vision Occupational Therapy Assistant · Madison, FL
Provider details
- NPI number
- 1023846201
- Entity type
- Individual
- Primary specialty
- Low Vision Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
545 Sw Gabriella Way
Madison, FL 32340-8440
Phone: (850) 464-8751
Approximate (ZIP-level) locationGet directions
Mailing address
545 Sw Gabriella Way
Madison, FL 32340-8440
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.