| NPI | 1215605860 |
|---|---|
| Doing Business As | SPARK REHAB & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SHANNON COMPTON Owner 972-658-3582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2023-01-10 |