Individual
CANDACE RAE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6286 BRIARCREST AVE, SUITE 110, MEMPHIS, TN 38120-4023
(901) 259-1600
(901) 259-1698
Mailing address
PO BOX 8888, BELFAST, ME 04915-8888
(901) 259-4260
(901) 259-2785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9038
TN
Other
Enumeration date
08/12/2011
Last updated
02/19/2014
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