Individual
WILLIAM SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
738 MERCER ST, PRINCETON, WV 24740-3114
(304) 323-3069
Mailing address
107 MAGNOLIA ST, SYLVA, NC 28779-5208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP024741T
WV
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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