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Individual

JOHN A SPARKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4730 S NATIONAL AVE, SUITE C5, SPRINGFIELD, MO 65810-2773
(417) 881-9333
(417) 881-9334
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 651-0444
(618) 654-5439

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
107428
MO

Other

Enumeration date
03/23/2007
Last updated
02/11/2009
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