Individual
MRS. KATHERINE BUZZA SPARKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT/L
Contact information
Practice address
716 E BELLA VISTA ST, LAKELAND, FL 33805-3009
(863) 683-6504
Mailing address
716 E BELLA VISTA ST, LAKELAND, FL 33805-3009
(863) 683-6504
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT9448
FL
Other
Enumeration date
08/21/2013
Last updated
02/01/2022
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