Individual
JOSHUA SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
132 S CEDAR ST, MASON, MI 48854-2401
(517) 853-6800
Mailing address
6527 WOODMERE RD, JACKSON, MI 49201-9408
(269) 584-1056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302417
MI
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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