Individual
MR. PATRICK SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4225 GENESEE ST, CHEEKTOWAGA, NY 14225-1994
(716) 204-3200
Mailing address
833 WILLOW ST, LOCKPORT, NY 14094-5125
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003778-1
NY
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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