Individual
MICHAEL JOHN SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1438 HIGHWAY 16 W, STE C, GRIFFIN, GA 30223-2096
(770) 233-0350
(770) 233-0370
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003697
GA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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