Most Relevant Information
Provider Data
| NPI Number: | 1003277716 |
| Provider Name: | THOMAS P SPAGNOLI PTA, CPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 006870 |
Most Important Dates
| Enumeration Date: | 03/09/2016 |
| Last Updated: | 03/09/2016 |
Provider Practice Location
167 MAIN ST
SOUTHAMPTON
NY
119684823
Practice Location Phone/Fax
| Phone: | 6312834190 |
| Fax: |
Provider Mailing Location
167 MAIN ST
SOUTHAMPTON
NY
119684823
Provider Mailing Phone/Fax
| Phone: | 6312834190 |
| Fax: |