Individual
LANA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 S RUMSEY RD, AU GRES, MI 48703-9492
(989) 756-2410
Mailing address
3223 S RUMSEY RD, AU GRES, MI 48703-9492
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
L2274705
MI
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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