Individual
ALI C SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
271 MOULTON RD, WAITSFIELD, VT 05673-7070
(802) 496-6344
Mailing address
271 MOULTON RD, WAITSFIELD, VT 05673-7070
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0104553
VT
Other
Enumeration date
06/04/2014
Last updated
06/21/2014
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