Individual
MS. MARGARET MARIE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
104 N EAST ST, PALMYRA, MO 63461-1741
(816) 786-9372
Mailing address
104 N EAST ST, PALMYRA, MO 63461-1741
(816) 786-9372
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
20000169350
MO
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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