Shadrack E Spears, PTA

NPI #1366635559 in Portage, Michigan

Provider Information

NPI Number
1366635559
Entity Type
Individual
Name
Shadrack E Spears, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 22, 2007
Last Updated
Aug 22, 2007

Practice Location

Address
1423 W CENTRE AVE
ZIP Code
49024-5351
Phone
(269) 323-4300

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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