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Dylan Jacob Spencer, RSA
Rehabilitation Practitioner in Waterloo, Illinois
NPI 1912696246

Dylan Jacob Spencer is a Rehabilitation Practitioner based in Waterloo, IL. Dylan Jacob Spencer practices in Waterloo, IL and has the professional credentials of RSA. The NPI Number for Dylan Jacob Spencer is 1912696246 and holds a License No. (Illinois).

The current practice location address for Dylan Jacob Spencer is 988 N Illinois Route 3, Waterloo, IL and can be reached out via phone at 618-939-4444.

Location: 988 N Illinois Route 3, Waterloo, IL, 62298-0146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912696246
Provider Name
Dylan Jacob Spencer
Credential
RSA
Provider Entity Type
Individual
Gender
Male
Address
988 N Illinois Route 3, Waterloo, IL, 62298-0146
Phone Number
618-939-4444
Fax Number
Provider Enumeration Date
05/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
988 N Illinois Route 3
City
Waterloo
State
Illinois
Zip
62298-1059
Phone Number
618-939-4444
Fax Number
person
Provider Business Mailing Address Details
Address
988 N Illinois Route 3
City
Waterloo
State
Illinois
Zip
62298-1059
Phone Number
618-939-4444
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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