Spencer Jacob Tannenbaum, PT, DPT

NPI #1730833609 in Evergreen, Colorado

Provider Information

NPI Number: 1730833609
Entity Type: Individual
Name: Spencer Jacob Tannenbaum, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Feb 9, 2022
Last Updated: Feb 9, 2022

Practice Location

Address: 1262 BERGEN PKWY UNIT E10
City: Evergreen
State: Colorado
ZIP Code: 80439-9546
Phone: (303) 674-7889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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