Individual
SPENCER STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
1627 CHEW ST, ALLENTOWN, PA 18102-3648
(610) 969-2403
Mailing address
5646 COVENANT CT, ALLENTOWN, PA 18106-8727
(610) 390-9642
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OC009176
PA
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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