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Individual

ALICIA JEAN SPENCE

Active
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Individual

ALICIA JEAN SPENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

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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