Individual
MR. LARRY GEORGE SPADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3800 SUMMIT GLEN RD, DAYTON, OH 45449-3647
(937) 436-2273
Mailing address
5312 CYNTHIA LN, DAYTON, OH 45429-2021
(937) 432-6414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA04350
OH
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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