Individual
DANIELLE LEA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25881 SEVERSON STREET, RICHLAND CENTER, WI 53581
(608) 604-8371
Mailing address
25881 SEVERSON ST, RICHLAND CENTER, WI 53581-6124
(608) 604-8371
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5437-27
WI
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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