Individual
SARAH GRACE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 CONCORD RD, WESTON, MA 02493-1310
(508) 873-8182
Mailing address
15 MYRTLE ST APT 1, CLINTON, MA 01510-2015
(508) 873-8182
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12128
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900065854
UNITED HEALTHCARE
—
Enumeration date
05/15/2018
Last updated
05/15/2018
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