Individual
THOMAS JOSEPH SPENCER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1400 LAKE SHORE DR, WACO, TX 76708-3718
(254) 753-0291
Mailing address
143 BREWSTER ST, ROBINSON, TX 76706-4629
(254) 753-0291
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210634
TX
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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