Individual
IVY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3125 INDEPENDENCE DR STE 300B, BIRMINGHAM, AL 35209-4168
(205) 879-7501
(205) 263-0994
Mailing address
3125 INDEPENDENCE DR STE 300B, BIRMINGHAM, AL 35209-4168
(205) 879-7501
(205) 263-0994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2796
AL
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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