Individual
MRS. HANNAH MICHELLE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 L SHIPP RD, EMPIRE, AL 35063-6236
(205) 983-2034
Mailing address
170 L SHIPP RD, EMPIRE, AL 35063-6236
(205) 983-2034
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3070
AL
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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