Individual
MARIYA JEAN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12109 COUNTY ROAD 452, LINDALE, TX 75771-7001
(903) 805-9399
Mailing address
12109 COUNTY ROAD 452, LINDALE, TX 75771-7001
(903) 805-9399
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2131473
TX
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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