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Individual

SPENCER SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
1992 W ANTELOPE DR STE 1D, LAYTON, UT 84041-4974
(801) 773-2633
(801) 773-1553
Mailing address
1992 W ANTELOPE DR STE 1D, LAYTON, UT 84041-4974
(801) 773-2633
(801) 773-1553

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14185579-4201
UT

Other

Enumeration date
10/01/2024
Last updated
02/27/2026
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