Individual
PAUL T SPICUZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7622 CRIMSON CT, MENTOR, OH 44060-7078
(440) 570-4902
Mailing address
7622 CRIMSON CT, MENTOR, OH 44060-7078
(440) 570-4902
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
153
OH
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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