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Organization
SPARKS THERAPY SERVICES, PLLC
Active
Organization
SPARKS THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L. SPARKS (PHYSICAL THERAPIST/MANAGING MEMBER)
(214) 597-8188
Entity
Organization
Contact information
Practice address
1506 PARK RIDGE TER, ARLINGTON, TX 76012-1929
(817) 461-3331
(817) 461-3331
Mailing address
PO BOX 122450, ARLINGTON, TX 76012-8450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1049997
TX
225100000X
Physical Therapist
1121283
TX
225100000X
Physical Therapist
1169113
TX
225200000X
Physical Therapy Assistant
2030625
TX
225200000X
Physical Therapy Assistant
2057623
TX
225X00000X
Occupational Therapist
102442
TX
235Z00000X
Speech-Language Pathologist
15357
TX
235Z00000X
Speech-Language Pathologist
15474
TX
Other
Enumeration date
04/15/2008
Last updated
12/16/2008
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