SHADRACK E SPEARS

PORTAGE, MI
NPI1366635559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2007-08-22
Last Update Date2007-08-22
Business Address
-- SHADRACK E SPEARS PTA
1423 W CENTRE AVE
PORTAGE, MI 49024-5351
Phone number: 269-323-4300
Mailing Address
-- SHADRACK E SPEARS PTA
4126 LUM ST
PORTAGE, MI 49002-6526
Phone number: 269-323-4300