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 |