# SPARKS PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033738687
- **Authorized official:** IRINA MERCEDES FIGUEROA-VELEZ (OFFICE MANAGER)
- **Authorized official phone:** (443) 212-5745

## Contact information

- **Practice address:** 954 RIDGEBROOK RD STE 310-330, SPARKS GLENCOE, MD 21152-9468
- **Practice address phone:** (443) 212-5745
- **Practice address fax:** (443) 212-5749
- **Mailing address:** 954 RIDGEBROOK RD STE 310, SPARKS GLENCOE, MD 21152-9440
- **Mailing address phone:** (443) 212-5745
- **Mailing address fax:** (443) 212-5749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2020
- **Last updated:** 11/05/2024