JACK SPATAFORE, DPT/MS

Specialist

Active Individual
NPI: 1093711657

Practice Address

306 W MAIN ST
Bridgeport, WV 26330

Phone: (304) 842-3137

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 002038 (WV)
Physical Therapist 225100000X No 002038 (WV)

Frequently Asked Questions

NPI 1093711657 is the National Provider Identifier for JACK SPATAFORE, DPT/MS, a Specialist provider located in Bridgeport, WV. This NPI was enumerated on June 28, 2005.
JACK SPATAFORE, DPT/MS practices at 306 W MAIN ST, Bridgeport, WV 26330.

Quick Facts

NPI
1093711657
Type
Individual
Enumerated
Jun 28, 2005
Last Updated
Mar 25, 2009

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