Individual
SPENCER GWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 CLINTON PL, LAWRENCE, KS 66047-2195
(785) 505-3780
Mailing address
3500 CLINTON PL, LAWRENCE, KS 66047-2195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-0633
KS
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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