Individual
MR. DAVID SPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1417
(203) 419-0381
(203) 419-0389
Mailing address
315 OLD TAVERN RD, ORANGE, CT 06477-3320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000531
CT
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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