Individual
SPENCER STEPHEN VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
3895 HARRISON BLVD, OGDEN, UT 84403-2312
(801) 387-7678
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14013611-4201
UT
225XH1200X
Hand Occupational Therapist
14013611-4201
UT
Other
Enumeration date
07/16/2024
Last updated
10/11/2024
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