MEDICARE: DR. ERIC CHRISTOPHER SPENCER D.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1244410	TX

General Provider Information

NPI Number	:	1154753044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC CHRISTOPHER SPENCER D.P.T.

Provider Business Mailing Address
First Line	:	25129 THE OLD ROAD
Second Line	:
City	:	STEVENSON RANCH
State	:	CA
Zip	:	91381
Country	:	US
Telephone Number	:	661-284-1984
Fax Number	:

Provider Business Practice Location Address
First Line	:	26744 E UNIVERSITY DT
Second Line	:	STE 500
City	:	LITTLE ELM
State	:	TX
Zip	:	76227-2703
Country	:	US
Telephone Number	:	972-347-9460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2013
Last Update Date	:	09/13/2024

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