Organization
CLE PHYSICAL THERAPY LLC
Active
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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