BARRY DWAYNE SPENCER

TUPELO, MS
NPI1457537888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3784)
Enumeration Date2008-01-16
Last Update Date2008-01-16
Business Address
-- BARRY DWAYNE SPENCER PTA
8 CAMBRIDGE DR
TUPELO, MS 38801-6126
Phone number: 662-231-0970
Mailing Address
-- BARRY DWAYNE SPENCER PTA
8 CAMBRIDGE DR
TUPELO, MS 38801-6126
Phone number:
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