Most Relevant Information
Provider Data
| NPI Number: | 1003384397 |
| Provider Name: | TOMICO CAMILLE SPEARS LPTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 06005807A |
Most Important Dates
| Enumeration Date: | 11/05/2018 |
| Last Updated: | 11/05/2018 |
Provider Practice Location
2701 CHESTNUT STATION CT
LOUISVILLE
KY
402996395
Practice Location Phone/Fax
| Phone: | 8003351060 |
| Fax: |
Provider Mailing Location
1515 AUTUMN DR
CROWN POINT
IN
463079691
Provider Mailing Phone/Fax
| Phone: | 4143241009 |
| Fax: |