Individual
ALICIA SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7380 W SAND LAKE RD STE 500, ORLANDO, FL 32819-5257
(407) 905-9300
Mailing address
7017 TALBOT DR, ORLANDO, FL 32819-7440
(979) 595-5049
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
304603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730365578
—
TX
Enumeration date
01/10/2008
Last updated
02/20/2019
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