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Larry Spade, PTA
NPI 1447583513 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3800 Summit Glen Rd
Dayton, OH 45449 - Phone
- (937) 436-2273
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio