Individual
MISS CASSANDRA NICOLE SPENCER
Active
Individual
MISS CASSANDRA NICOLE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
118308
TX
225X00000X
Occupational Therapist
4729
TN
225X00000X
Occupational Therapist
Primary
8671
NC
225X00000X
Occupational Therapist
OT.0005101
CO
225X00000X
Occupational Therapist
R5393
KY
Other
Enumeration date
04/17/2014
Last updated
03/17/2018
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