Individual
TANEA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTRL
Contact information
Practice address
1183 NORMAN DR., COLUMBUS, OH 43227
(614) 501-9223
Mailing address
1183 NORMAN DR., COLUMBUS, OH 43227
(614) 501-9223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007213
OH
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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