Individual
MR. DAN JORDAN SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3759 VALLEY VIEW RD, AUSTIN, TX 78704-5921
(512) 443-3436
Mailing address
1015 CEDAR GLN, AUSTIN, TX 78745-3043
(512) 416-9018
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2106628
TX
Other
Enumeration date
12/25/2014
Last updated
12/25/2014
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