Individual
DR. KATHLEEN ANN SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
401 S COLTRANE RD STE 206, EDMOND, OK 73034-6720
(580) 318-9415
Mailing address
2601 CHEVAL POINTE DR, EDMOND, OK 73034-6001
(817) 372-2414
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
6465
OK
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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