Individual
BROOKE A SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
827 CYPRESS VILLAGE BLVD, SUN CITY CENTER, FL 33573-6838
(813) 633-0669
(813) 633-0881
Mailing address
12631 LAKE VISTA DR, GIBSONTON, FL 33534-3931
(813) 363-1148
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA27737
FL PTA LICENSE
FL
Enumeration date
04/28/2021
Last updated
04/28/2021
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