Individual
MISS JACQUELINE M. SPALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(697) 798-5255
Mailing address
19 JEWELL AVE, BINGHAMTON, NY 13901-1212
(607) 648-3105
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
023192-1
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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