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Spencer Sandage, OTR

Occupational Therapist in Torrance, CA. Individual provider (NPI-1).

NPI number1689205379
StatusActive
Last updated in NPPESNov 12, 2021

Details

NPI
1689205379
Entity type
Individual (NPI-1)
Name
Spencer Sandage
Credential
OTR
Sex
Male
Sole proprietor
No
Enumeration date
Jan 31, 2020
Certification date
Nov 12, 2021
Last updated
Nov 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist17847CAYes

Practice location

20820 Earl St
Torrance, CA 90503-4307

Phone 310-371-1228

Mailing address

21601 Avalon Blvd Apt 529
Carson, CA 90745-2476

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