Individual
MICHAEL ANTHONY SPARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Contact information
Practice address
187 BERGEN AVE, WEST DEPTFORD, NJ 08086-2145
(856) 397-0270
Mailing address
187 BERGEN AVE, WEST DEPTFORD, NJ 08086-2145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00774900
NJ
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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