Individual
VICKY SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3187 HIGHLAND FORGE TRL, DACULA, GA 30019-6721
(770) 904-6009
(770) 904-2357
Mailing address
3187 HIGHLAND FORGE TRL, DACULA, GA 30019-6721
(770) 904-6009
(770) 904-2357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002424
GA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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