Individual
SONYA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5714 BLUE STAR LN, SPOTSYLVANIA, VA 22551-4707
(540) 755-9497
Mailing address
5714 BLUE STAR LN, SPOTSYLVANIA, VA 22551-4707
(540) 755-9497
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602280
VA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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