Individual
L. LEE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
708 VIRGINIA CT, PINCKNEYVILLE, IL 62274-1538
(618) 357-2493
(618) 357-3120
Mailing address
PO BOX 243, PERCY, IL 62272-0243
(618) 719-6942
(217) 444-4986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008473
IL
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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