Individual
SPENCER FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
(803) 741-9090
Mailing address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7007
SC
Other
Enumeration date
10/11/2023
Last updated
10/30/2023
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