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Organization
SPARKS PHYSICAL THERAPY, INC.
Active
Organization
SPARKS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT ERIC HALPERT PT, DPT (PRESIDENT)
(443) 212-5745
Entity
Organization
Contact information
Practice address
954 RIDGEBROOK RD STE 310, SPARKS, MD 21152-9440
(443) 212-5745
(443) 212-5749
Mailing address
954 RIDGEBROOK RD STE 310, SPARKS, MD 21152-9440
(443) 212-5745
(443) 212-5749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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