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Organization

CLE PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID SPARKS PT (PHYSICAL THERAPIST)
(440) 799-8699
Entity
Organization

Contact information

Practice address
20340 CENTER RIDGE ROAD, ROCKY RIVER, OH 44116
(440) 799-8699
Mailing address
20340 CENTER RIDGE ROAD, ROCKY RIVER, OH 44116
(440) 799-8699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6007
OH
225200000X
Physical Therapy Assistant
09941
OH

Other

Enumeration date
07/07/2017
Last updated
12/20/2019
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