Individual
CHESTER LEROY SPRUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
576 FRED ROGERS DR, LATROBE, PA 15650-3822
(724) 537-4441
Mailing address
397 JIMTOWN RD, SOMERSET, PA 15501-5617
(814) 443-6741
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE003028L
PA
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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