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NPI Code Detail

MEDICARE: ALICIA SPENCE

MEDICARE: ALICIA SPENCE
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
1225XP0200XPediatric Occupational Therapist304603TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730365578
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA SPENCE
Provider Business Mailing Address
First Line : 7017 TALBOT DR
Second Line :
City : ORLANDO
State : FL
Zip : 32819-7440
Country : US
Telephone Number : 979-595-5049
Fax Number :
Provider Business Practice Location Address
First Line : 7380 W SAND LAKE RD STE 500
Second Line :
City : ORLANDO
State : FL
Zip : 32819-5257
Country : US
Telephone Number : 407-905-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 02/20/2019

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Directions to “ ALICIA SPENCE ” Practice Location

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