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Individual
PAMELA ANN SPENCER
Active
Individual
PAMELA ANN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103547
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199699301
—
TX
01
—
819T87
BCBS
TX
Enumeration date
02/12/2009
Last updated
05/21/2010
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