Individual
MRS. KRISTY MICHELLE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
26027 HIGHWAY 11, ST CATHARINE, MO 64628-8063
(660) 412-2741
Mailing address
26027 HIGHWAY 11, ST CATHARINE, MO 64628-8063
(660) 412-2741
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013001302
MO
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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