Vicky Sparks OTR/L

NPI 1023322104 - Occupational Therapist - 225X00000X

NPI Details
NPI 1023322104
Gender Female
Enumeration Date 08/02/2010
Last Updated 08/02/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3187 HIGHLAND FORGE TRL
DACULA GA, 30019-6721, US
Phone (770) 904-6009
Fax (770) 904-2357
Business Location
3187 HIGHLAND FORGE TRL
DACULA GA, 30019-6721, US
Phone (770) 904-6009
Fax (770) 904-2357
Toxanomy
Taxonomy Code 225X00000X
License State Georgia
License Number OT002424
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According to our database, Vicky Sparks OTR/L NPI is 1023322104, taxonomy code is 225X00000X and license number is OT002424, license state is located at Georgia. Vicky Sparks OTR/L physically located at 3187 Highland Forge Trl, Dacula GA, 30019-6721. NPI Number Vicky Sparks OTR/L has the Individual type.

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1023322104 NPI number is provided on an as is basis without warranty of any kind. 1023322104 is maintained by the National Plan & Provider Enumeration System. The contents of Vicky Sparks OTR/L are for informational purposes only.