Individual
TANEA RENEE SPANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10431 LOOKOUT LN, INDIANAPOLIS, IN 46234-9856
(812) 444-9993
Mailing address
10431 LOOKOUT LN, INDIANAPOLIS, IN 46234-9856
(812) 444-9993
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005214A
IN
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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