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Organization
SPARKER PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization
SPARKER PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON PARKER PT (MANAGER)
(256) 230-5382
Entity
Organization
Contact information
Practice address
5816 MILLENNIUM SILVER CT, SARASOTA, FL 34238-3521
(256) 230-5382
Mailing address
5816 MILLENNIUM SILVER CT, SARASOTA, FL 34238-3521
(256) 230-5382
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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