Individual
BRIANNE M SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
200 PORTER DR, SUITE 101, SAN RAMON, CA 94583-1587
(925) 838-1550
(925) 838-2481
Mailing address
200 PORTER DR, SUITE 215, SAN RAMON, CA 94583-1587
(925) 838-1550
(925) 838-2481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41344
MEDICAL LICENSE
CA
Enumeration date
06/18/2014
Last updated
05/08/2017
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