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Individual

ALI SPARKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3930 4TH AVE STE 200, SAN DIEGO, CA 92103-3119
(619) 297-9610
Mailing address
106 E LYNNWOOD DR, CLARKSVILLE, IN 47129-1734
(502) 409-3548

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05014361A
IN
225100000X
Physical Therapist
Primary
301779
CA
225100000X
Physical Therapist

Other

Enumeration date
07/21/2021
Last updated
04/13/2022
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