Individual
TIMOTHY R SPEAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
111 OSSIPEE TRL E, SUITE 1151, STANDISH, ME 04084-6464
(207) 642-5325
(207) 642-5395
Mailing address
111 OSSIPEE TRL E, SUITE 1151, STANDISH, ME 04084-6464
(207) 642-5325
(207) 642-5395
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT163
ME
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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