Individual
ELEANOR L SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
427 N MAGNOLIA AVE STE 100, ORLANDO, FL 32801-1524
(407) 896-1152
Mailing address
4317 DINNER LAKE DR, LAKE WALES, FL 33859-2149
(740) 856-1368
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30920
FL
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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