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John Spencer, PTA

NPI 1306108857 · on the registry since 2012 · sole proprietor

Practice

Address
4069 W Linwood St
Springfield, MO 65807
Phone
(417) 761-1532
Fax
(417) 315-8500

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri