WADE DUNCAN SPARKS

COLUMBIA, SC
NPI1154432185
Professional NameWADE SPARKS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy226300000X Kinesiotherapist
(Licence: FL  1377)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
MR. WADE DUNCAN SPARKS RKT
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
Mailing Address
MR. WADE DUNCAN SPARKS RKT
59 LOGGERHEAD DR
COLUMBIA, SC 29229-7911
Phone number: 803-699-9887
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