Provider Demographics
NPI:1154753044
Name:SPENCER, ERIC CHRISTOPHER (DPT)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:CHRISTOPHER
Last Name:SPENCER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25129 THE OLD ROAD
Mailing Address - Street 2:
Mailing Address - City:STEVENSON RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91381
Mailing Address - Country:US
Mailing Address - Phone:661-284-1984
Mailing Address - Fax:
Practice Address - Street 1:26744 E UNIVERSITY DT
Practice Address - Street 2:STE 500
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:76227-2703
Practice Address - Country:US
Practice Address - Phone:972-347-9460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1244410225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist