DEIDRE SPARKS

WYNNE, AR
NPI1013568393
Professional NameDEIDRE SPARKS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  4680)
Enumeration Date2019-09-26
Last Update Date2019-09-26
Business Address
DEIDRE SPARKS
1871 FALLS BLVD N
WYNNE, AR 72396-4026
Phone number: 870-208-8989
Mailing Address
DEIDRE SPARKS
10 WILLOW CREEK LN APT 10109
JONESBORO, AR 72404-7319
Phone number: 870-494-0156