Individual
HEATHER SPISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18 BROAD ST, JOHNSON CITY, NY 13790-2106
(607) 798-7117
Mailing address
18 BROAD ST, JOHNSON CITY, NY 13790-2106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008440-01
NY
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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