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Individual

RICHARD L SPENCER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
200 N MAIN ST STE C, SAND SPRINGS, OK 74063-7638
(918) 245-0111
(918) 245-3555
Mailing address
4812 E 33RD ST, TULSA, OK 74135-2038
(918) 622-4126
(918) 270-2398

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4633
OK

Other

Enumeration date
07/11/2012
Last updated
01/13/2015
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