Individual
LAUREN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
103 ROSEHILL DR, SOUTH BOSTON, VA 24592-4843
(434) 517-7527
Mailing address
307 YATES ST, SOUTH BOSTON, VA 24592-5033
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604726
VA
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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