Organization
SPARK MOTION PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN KENNELLY (OWNER)
(202) 285-7849
Entity
Organization
Contact information
Practice address
6200 UTAH AVE NW, WASHINGTON, DC 20015-2432
(240) 460-8983
Mailing address
6200 UTAH AVE NW, WASHINGTON, DC 20015-2432
(240) 460-8983
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
10/09/2024
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