Individual
SPENCER COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
800 N BELL TRACE CIR, BLOOMINGTON, IN 47408-4405
(812) 332-2355
Mailing address
2931 E DISCOVERY PKWY APT D102, BLOOMINGTON, IN 47408-9031
(812) 774-7688
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005979A
IN
225200000X
Physical Therapy Assistant
2151091
TX
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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