Individual
ANGELA MARIA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
28 GILMAN PLZ, BANGOR, ME 04401-3561
(207) 990-0162
Mailing address
28 GILMAN PLZ, BANGOR, ME 04401-3561
(207) 990-0162
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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