Individual
JENNIFER SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4360 HWY 39 N, MERIDIAN, MS 39301
(601) 490-4494
(866) 404-9501
Mailing address
5703 GULF TECH DR, OCEAN SPRINGS, MS 39564-8238
(228) 875-5447
(866) 404-9501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3634
MS
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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