Individual
REBECCA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1501 OLD BLACK HORSE PIKE APT F9, BLACKWOOD, NJ 08012-4927
(856) 404-0904
Mailing address
17 HAMILTON DR, LAUREL SPRINGS, NJ 08021-2742
(856) 889-2742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01110500
NJ
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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