Individual
ISAAC PAUL SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
326 CENTER AVE STE 100, KODIAK, AK 99615-7302
(907) 486-4042
Mailing address
105 BRAMPTON CT, WINSTON SALEM, NC 27106-4482
(336) 413-9029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
181441
AK
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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