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NPI Code Detail

MEDICARE: ELIZABETH A SPENCER

MEDICARE: ELIZABETH A 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
1225100000XPhysical Therapist2305209758VA

General Provider Information

NPI Number : 1679949895
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A SPENCER
Provider Business Mailing Address
First Line : 220 RESERVOIR ST
Second Line :
City : HARRISONBURG
State : VA
Zip : 22801-4321
Country : US
Telephone Number : 540-434-9267
Fax Number :
Provider Business Practice Location Address
First Line : 220 RESERVOIR ST
Second Line :
City : HARRISONBURG
State : VA
Zip : 22801-4321
Country : US
Telephone Number : 540-434-9267
Fax Number : 540-434-2404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2015
Last Update Date : 08/12/2015

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Directions to “ ELIZABETH A SPENCER ” Practice Location

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