JOHN DEWANE SPENCER

SPRINGFIELD, MO
NPI1306108857
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2010034268)
Enumeration Date2012-06-11
Last Update Date2012-06-11
Business Address
Mr. JOHN DEWANE SPENCER PTA
4069 W LINWOOD ST
SPRINGFIELD, MO 65807-1035
Phone number: 417-761-1532
Mailing Address
Mr. JOHN DEWANE SPENCER PTA
4069 W LINWOOD ST
SPRINGFIELD, MO 65807-1035
Phone number:
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