Individual
PATRICIA T SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
240 RIVERSIDE DR, BASSETT, VA 24055-4257
(276) 629-1772
Mailing address
110 WIGGINTON ROAD, FIELDALE, VA 24089-3228
(276) 681-6663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0119004527
VA
Other
Enumeration date
12/26/2007
Last updated
02/18/2010
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