Individual
MS. CAROLYN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7377 WASHINGTON BLVD, ELKRIDGE, MD 21075-6360
(410) 487-8620
Mailing address
5428 SIMPKINS CT, ELLICOTT CITY, MD 21043-6579
(410) 465-9590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14915
MD
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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