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Individual
SPENCER G. COMBS
Active
Individual
SPENCER G. COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305208753
VA
225100000X
Physical Therapist
Primary
PT33466
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568861870
MEDICAID QMB PROVIDER ID
VA
01
—
P01419576
MEDICARE RR PTAN
VA
Enumeration date
08/22/2014
Last updated
05/26/2022
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