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Individual

ANDREW SPICER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
700 KATLIAN ST STE E, SITKA, AK 99835-7359
(907) 747-4559
Mailing address
615 SW MOSS ST, PORTLAND, OR 97219-4477

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
144548
AK
225100000X
Physical Therapist
23218
MA
225100000X
Physical Therapist
63171
OR

Other

Enumeration date
05/01/2019
Last updated
06/04/2019
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