CANDACE RAE SPARKS

MEMPHIS, TN
NPI1013296607
Former NameCANDACE RAE HALVORSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  9038)
Enumeration Date2011-08-12
Last Update Date2014-02-19
Business Address
-- CANDACE RAE SPARKS P.T.
6286 BRIARCREST AVE SUITE 110
MEMPHIS, TN 38120-4023
Phone number: 901-259-1600
Mailing Address
-- CANDACE RAE SPARKS P.T.
PO BOX 8888
BELFAST, ME 04915-8888
Phone number: 901-259-4260
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