Individual
DR. MADELEINE ROSE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
46060 MILLSTONE LANDING RD, LEXINGTON PARK, MD 20653-2149
(443) 907-3630
Mailing address
192 TALLY HO CT, ELKTON, MD 21921-1761
(443) 466-3665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
27957
MD
Other
Enumeration date
09/16/2020
Last updated
12/13/2022
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