Individual
THOMAS P SPAGNOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, CPT
Contact information
Practice address
167 MAIN ST, SOUTHAMPTON, NY 11968-4823
(631) 283-4190
Mailing address
167 MAIN ST, SOUTHAMPTON, NY 11968-4823
(631) 283-4190
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006870
NY
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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