Individual
KYRA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
103 BELLA DR, BROOMALL, PA 19008-1505
(610) 551-8172
Mailing address
103 BELLA DR, BROOMALL, PA 19008-1505
(610) 551-8172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC018057
PA
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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