Individual
MISS JACQUELINE MERRILL SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
182 W MAIN ST, CONWAY, NH 03818-6140
(603) 447-6356
(603) 447-1114
Mailing address
127 BROWNFIELD RD, EATON CENTER, NH 03832-0028
(603) 447-5972
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0389
NH
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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