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Organization
SPEAR PHYSICAL THERAPY, LLC
Active
Organization
SPEAR PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED PENNACCHIO (HUMAN RESOURCES)
(646) 790-7465
Entity
Organization
Contact information
Practice address
1250 WATERS PLACE, BRONX, NY 10461
(212) 759-2282
Mailing address
120 E 56TH ST, SUITE 835, NEW YORK, NY 10022-3607
(646) 790-7465
(212) 379-2077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251H1200X
Hand Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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