Individual
SPENCER MICHAEL BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2136 WILLIAM ST STE 115, CAPE GIRARDEAU, MO 63703-5830
(573) 826-4033
Mailing address
1932 ROCK CREEK LN # 301B, CAPE GIRARDEAU, MO 63701-9253
(573) 576-3877
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2021041872
MO
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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