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Individual
MS. RAISSA G SPENCER
Active
Individual
MS. RAISSA G SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
710426
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100193554
—
WI
Enumeration date
10/21/2021
Last updated
02/12/2025
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