Jack Anthony Spatafore, DPT/MS
NPI #1093711657 in Bridgeport, West Virginia
Provider Information
- NPI Number
- 1093711657
- Entity Type
- Individual
- Name
- Jack Anthony Spatafore, DPT/MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- DPT/MS
- Enumeration Date
- Jun 28, 2005
- Last Updated
- Mar 25, 2009
Practice Location
- Address
- 306 W MAIN ST
- City
- Bridgeport
- State
- West Virginia
- ZIP Code
- 26330-1751
- Phone
- (304) 842-3137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Physical Therapist |
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