Individual
KEVIN SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
187 PARK ST, MALONE, NY 12953-1233
(518) 481-2440
Mailing address
187 PARK ST, MALONE, NY 12953-1233
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
017763-1
NY
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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