Individual
ALICIA JEAN SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
805 S ATHERTON ST, SUITE 103, STATE COLLEGE, PA 16801-4671
(814) 278-1912
(814) 278-1921
Mailing address
430 INNOVATION DRIVE, BLAIRSVILLE, PA 15717-8096
(724) 343-4060
(724) 343-4069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008443L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28215
HIGHMARK BLUE SHIELD
PA
01
—
418207
HEALTH AMER/HELATH ASSUR.
PA
01
—
50056570
CAPITAL/KHPC
PA
Enumeration date
09/29/2006
Last updated
01/14/2015
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