Provider Demographics
NPI:1053537183
Name:SPADONI, PAMELA G (RPT)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:G
Last Name:SPADONI
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4537 FOXTAIL DR
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-9666
Mailing Address - Country:US
Mailing Address - Phone:610-746-0140
Mailing Address - Fax:
Practice Address - Street 1:2 GRACEDDALE AVE
Practice Address - Street 2:PHYSICAL THERAPY DEPARTMENT
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-8785
Practice Address - Country:US
Practice Address - Phone:610-746-1908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000750E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist