Individual
JENNIFER LYNNE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2401 IRA E WOODS AVE STE 300, GRAPEVINE, TX 76051-3999
(817) 676-1793
Mailing address
8308 REGENCY DR, NORTH RICHLAND HILLS, TX 76180-1490
(817) 676-1793
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111332
TX
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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