Individual
MR. MARVIN LEE SPICER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
110 KILDAIRE PARK DR STE 106, CARY, NC 27518-8162
(919) 350-1508
(919) 350-1475
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0552
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P16538
NC
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659851152
—
NC
Enumeration date
08/15/2018
Last updated
04/05/2021
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