Elaine J Spang, PTA

NPI #1487862876 in Driggs, Idaho

Provider Information

NPI Number: 1487862876
Entity Type: Individual
Name: Elaine J Spang, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 50 SKI HILL RD
City: Driggs
State: Idaho
ZIP Code: 83422
Phone: (208) 354-3128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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