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Organization
SUSAN SPARKS PHYSICAL THERAPY INC
Active
Organization
SUSAN SPARKS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M SPARKS P.T. (OWNER)
(413) 447-8070
Entity
Organization
Contact information
Practice address
740 WILLIAMS ST, PITTSFIELD, MA 01201-7463
(413) 447-8070
(413) 445-4918
Mailing address
740 WILLIAMS ST, PITTSFIELD, MA 01201-7463
(413) 447-8070
(413) 445-4918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9769099
—
MA
Enumeration date
07/26/2005
Last updated
08/22/2020
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