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Individual

LAURA J SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
100 MOUNTAIN VIEW DR, SUITE 100, CUMMING, GA 30040-2434
(770) 889-2163
Mailing address
2204 GLENRIDGE LN, CUMMING, GA 30041-0200

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008014
GA

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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