Individual
KRISTIN NICOLE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1910 MEDI PARK DR, AMARILLO, TX 79106-2187
(806) 457-4700
Mailing address
8003 ARBOR ST, AMARILLO, TX 79110-4777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209260
TX
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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