Travis Spader, M.S.P.T.

NPI #1184786618 in Manasquan, New Jersey

Provider Information

NPI Number: 1184786618
Entity Type: Individual
Name: Travis Spader, M.S.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: M.S.P.T.
Enumeration Date: Dec 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2516 HIGHWAY 35
City: Manasquan
State: New Jersey
ZIP Code: 08736-1925
Phone: (732) 223-6309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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