Individual
DR. ANGELA O'NEILL SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
27 FROST LN, DAWSONVILLE, GA 30534-4349
(404) 436-0774
Mailing address
27 FROST LN, DAWSONVILLE, GA 30534-4349
(404) 436-0774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005505
GA
225X00000X
Occupational Therapist
OT1721
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131366F
—
GA
05
—
02983026
—
MS
Enumeration date
11/20/2006
Last updated
05/19/2025
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