Individual
MRS. DANIELLE NICOLE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3490 FAR HILLS AVE, KETTERING, OH 45429-2500
(937) 395-3920
(937) 395-3950
Mailing address
3075 ADDISON NEW CARLISLE RD, NEW CARLISLE, OH 45344-7513
(937) 846-0671
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1731
OH
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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