Individual
MR. PETER D SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1805 SW ROTH ST, CORVALLIS, OR 97333-1553
(541) 757-6632
Mailing address
1805 SW ROTH ST, CORVALLIS, OR 97333-1553
(541) 757-6632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2467
OR
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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