Individual
MRS. TRACY LEIGH SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2709 HOLLY CT NW, SWISHER, IA 52338-9425
(319) 899-0181
Mailing address
2709 HOLLY CT NW, SWISHER, IA 52338-9425
(319) 899-0181
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001019
IA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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