Individual
JINDRISKA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1950 E 4TH ST, PIERRE, SD 57501-4201
(605) 945-6121
Mailing address
2965 E TARPON DR STE 150, MERIDIAN, ID 83642-9007
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0937
SD
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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