Individual
MR. JOHN DEWANE SPENCER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4069 W LINWOOD ST, SPRINGFIELD, MO 65807-1035
(417) 761-1532
(417) 315-8500
Mailing address
4069 W LINWOOD ST, SPRINGFIELD, MO 65807-1035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2010034268
MO
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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