Provider Demographics
NPI:1386296085
Name:SPEAR, AMBER (DR PT)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:SPEAR
Suffix:
Gender:F
Credentials:DR PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:625 LINCOLN AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:N CHARLEROI
Mailing Address - State:PA
Mailing Address - Zip Code:15022-2451
Mailing Address - Country:US
Mailing Address - Phone:724-483-3610
Mailing Address - Fax:724-489-4758
Practice Address - Street 1:240 3RD ST
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:PA
Practice Address - Zip Code:15419-1132
Practice Address - Country:US
Practice Address - Phone:724-938-0312
Practice Address - Fax:724-938-0312
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA24751225100000X
PAPTO27810225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist