Theresa M Spade, PT

NPI #1982605804 in Fort Wayne, Indiana

Provider Information

NPI Number: 1982605804
Entity Type: Individual
Name: Theresa M Spade, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 2, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 7601 W JEFFERSON BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46804-4133
Phone: (260) 436-8686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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