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Individual

MR. ROBERT LAWRENCE SPAID II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSA, ATC

Contact information

Practice address
1401 CHARLESTOWN RD, PHOENIXVILLE, PA 19460-2373
(610) 917-1480
Mailing address
22 ORCHARD HILLS DR, APT B, BOYERTOWN, PA 19512-1445
(610) 202-7500

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003637
PA

Other

Enumeration date
12/03/2009
Last updated
12/03/2009
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