Individual
BILLY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23271 VERDUGO DR, #B, LAGUNA HILLS, CA 92653-1347
(949) 707-5555
Mailing address
1330 CABRILLO PARK DR, UNIT F, SANTA ANA, CA 92701-3117
(714) 541-8020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2065
CA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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