VICKY SPARKS

DACULA, GA
NPI1023322104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT002424)
Enumeration Date2010-08-02
Last Update Date2010-08-02
Business Address
-- VICKY SPARKS OTR/L
3187 HIGHLAND FORGE TRL
DACULA, GA 30019-6721
Phone number: 770-904-6009
Mailing Address
-- VICKY SPARKS OTR/L
3187 HIGHLAND FORGE TRL
DACULA, GA 30019-6721
Phone number: 770-904-6009
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