Spencer, Raissa G

Spencer, Raissa G is an individual health care provider with primary practice located at 9200 W Loomis Rd , Franklin WI 53132-8887. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Spencer, Raissa G can be contacted via phone (414) 529-9200.

Contact Information

Primary practice address
9200 W Loomis Rd Franklin WI 53132-8887
Phone: (414) 529-9200
Fax: (414) 529-9207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 710426 Wisconsin

Profile Details

NPI number 1043973407
LBN Legal business name Spencer, Raissa G
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2021
Last updated Dec 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043973407 NPPES
Wisconsin MEDICAID 100193554

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