Individual
BROOK SPENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR
Contact information
Practice address
1501 HARTFORD ST, LAFAYETTE, IN 47904-2134
(765) 423-6885
(765) 423-6099
Mailing address
8486 S 950 E, LAFAYETTE, IN 47905-9312
(765) 414-3764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003585A
IN
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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