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Individual

MR. JAMES WILLIAM SPENCE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
5874 VETERANS WAY, BURLINGTON, KY 41005-8824
(859) 334-4331
(859) 586-1798
Mailing address
PO BOX 911148, LEXINGTON, KY 40591-1148
(859) 278-2121
(859) 276-2795

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000433
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8700180600
KY
Enumeration date
07/07/2006
Last updated
07/08/2007
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