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1699443739
BRENDON M SPENCER
WEST CALDWELL, NJ
NPI
1699443739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00388300)
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
BRENDON M SPENCER DPT
700 PASSAIC AVE
WEST CALDWELL, NJ 07006-6408
Phone number: 973-685-4805
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Mailing Address
BRENDON M SPENCER DPT
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5859
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