NPI | 1689916181 |
---|---|
Professional Name | MALLORY LEIGH SPENCER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 9331370-2401) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.019816) |
Enumeration Date | 2013-03-22 |
Last Update Date | 2016-11-28 |