Individual
KERRY LYNN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
5248 ROBINWOOD DR, OCEANSIDE, CA 92056-6420
(707) 326-4779
Mailing address
5248 ROBINWOOD DR, OCEANSIDE, CA 92056-6420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13062
CA
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
13062
CA
Other
Enumeration date
11/19/2012
Last updated
07/14/2017
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