Individual
AMANDA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5690 WATERMELON RD STE 100, NORTHPORT, AL 35473-5008
(205) 759-2211
(205) 759-2213
Mailing address
5690 WATERMELON RD STE 100, NORTHPORT, AL 35473-5008
(205) 759-2211
(205) 759-2213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTH8052
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA8052
PHYSICAL THERAPY ASSISTANT LICENSE
AL
Enumeration date
08/29/2018
Last updated
08/29/2018
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