Individual
JEFFREY SPORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
59 ACTON ST, WORCESTER, MA 01604-4829
(716) 289-1952
Mailing address
59 ACTON ST, WORCESTER, MA 01604-4829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007221
KY
225100000X
Physical Therapist
043061
NY
225100000X
Physical Therapist
Primary
24188
MA
225100000X
Physical Therapist
PT6340
MS
Other
Enumeration date
03/22/2019
Last updated
03/23/2020
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