Individual
TAMMIE ELAINE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
TRENTON R-IX SCHOOLS, 1607 NORMAL ST, TRENTON, MO 64683-1967
(660) 359-2228
(660) 359-3995
Mailing address
1607 NORMAL ST, TRENTON, MO 64683-1967
(660) 359-2228
(660) 359-3995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475931713
—
MO
Enumeration date
03/19/2007
Last updated
02/20/2009
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