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1124622568
SPARK PATH THERAPY LLC
DAWSONVILLE, GA
NPI
1124622568
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Entity Type
Organization
Authorized Contact
ANGELA O SPARKS
Owner
404-436-0774
Organization Subpart ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
Enumeration Date
2020-11-25
Last Update Date
2022-11-15
Business Address
SPARK PATH THERAPY LLC
40 GROGAN DR
DAWSONVILLE, GA 30534-1004
Phone number: 404-436-0774
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Mailing Address
SPARK PATH THERAPY LLC
PO BOX 2191
DAWSONVILLE, GA 30534-0039
Phone number: 404-436-0774
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