Individual
KATHERINE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 NICKLIN AVE, PIQUA, OH 45356-1713
(937) 773-2017
Mailing address
2000 W STANFIELD RD, TROY, OH 45373-2572
(937) 339-5100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20242799-SP
OH
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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