Individual
DANIEL SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3551 WASHINGTON BLVD, HALETHORPE, MD 21227-1672
(443) 566-4260
(443) 558-1090
Mailing address
501 FAIRMOUNT AVE, STE 302, TOWSON, MD 21286-5457
(410) 927-8768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23652
MD
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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