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NPI Code Detail

MEDICARE: SHANA SPENCER

MEDICARE: SHANA SPENCER
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
1225X00000XOccupational Therapist63 017667NY

General Provider Information

NPI Number : 1578816898
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANA SPENCER
Provider Business Mailing Address
First Line : 124 BROADKILL RD # 1045
Second Line :
City : MILTON
State : DE
Zip : 19968-1008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 124 BROADKILL RD, #1045
Second Line :
City : MILTON
State : DE
Zip : 19968-1008
Country : US
Telephone Number : 443-583-3410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2012
Last Update Date : 02/01/2026

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Directions to “ SHANA SPENCER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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