Organization
SPARKS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA MERCEDES FIGUEROA-VELEZ (OFFICE MANAGER)
(443) 212-5745
Entity
Organization
Contact information
Practice address
954 RIDGEBROOK RD STE 310-330, SPARKS GLENCOE, MD 21152-9468
(443) 212-5745
(443) 212-5749
Mailing address
954 RIDGEBROOK RD STE 310, SPARKS GLENCOE, MD 21152-9440
(443) 212-5745
(443) 212-5749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
666629900
—
MD
Enumeration date
04/14/2020
Last updated
11/05/2024
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