Individual
JARETT SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3609 BOND ST, RALEIGH, NC 27604-3801
(919) 231-8113
Mailing address
286 COTTAGE WAY, PITTSBORO, NC 27312-1360
(919) 914-3340
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13839
NC
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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