Individual
SPENCER THOMAS COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3645 COOK AVE, SAINT LOUIS, MO 63113-3801
(314) 798-3662
Mailing address
2708 SAINT LOUIS RD APT C, JEFFERSON CITY, MO 65101-4477
(314) 798-3662
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013038749
MO
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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