Individual
BRENDON M SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
700 PASSAIC AVE, WEST CALDWELL, NJ 07006-6408
(973) 685-4805
(973) 532-4820
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00388300
NJ
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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