| Doctor Name: | MARA M. SPENCER |
| NPI Number: | 1063563286 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.P.T. |
| License Number: | 5696-024 |
| Business Practice Address: | 14555 W National Ave Ste. 135 New Berlin, WI - 531514494 |
| Business Phone Number: | 2628273180 |
| Business Fax Number: | 2628273180 |
| Mailing Address: | 851 S 70th St, Ste. 101 WEST ALLIS |
| State: | WI |
| Postal Code: | 532143147 |
| Phone Number: | 4147775100 |
| Fax Number: | 4147775112 |
| NPI Enumeration Date: | 01/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5696-024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |