Contact Information | |
---|---|
First Name | STEPHEN |
Last Name | SPECHT |
Address | 634 ARTHUR STREET |
City | PHILADELPHIA |
State | PA |
Province | |
Zip/Postal Code | 19111-2353 |
Country | United States |
Home Phone | 215 - 728-7363 |
Work Phone | 215 - 380-9219 |
Fax | |
FDMED7@COMCAST.NET | |
Alternate Email | |
Website Address | |
Gender | Male |
Injury Information | |
The injured person is | Self |
Name of Injured | STEPHEN - SPECHT |
Date of Injury | 10/13/2004 |
Type of Injury | Traumatic |