Basic Information
Provider Information
NPI: 1649491614
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REIMER-SPRITZ
FirstName: JOIE
MiddleName: MARISA
NamePrefix: MRS.
NameSuffix:  
Credential: M.A., ED ECSE
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: REIMER
OtherFirstName: JOIE
OtherMiddleName: MARISA
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.A.,ED ECSE
OtherLastNameType: 1
Mailing Information
Address1: 91 FARRAGUT RD
Address2:  
City: SWAMPSCOTT
State: MA
PostalCode: 019071936
CountryCode: US
TelephoneNumber: 7815981215
FaxNumber:  
Practice Location
Address1: 103 JOHNSON ST
Address2:  
City: LYNN
State: MA
PostalCode: 019024001
CountryCode: US
TelephoneNumber: 7815932727
FaxNumber: 7815932542
Other Information
ProviderEnumerationDate: 05/01/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
222Q00000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist 

No ID Information.


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