CHARLENE SPARKS

ORANGE, CA
NPI1376014373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  PTA48904)
Enumeration Date2018-12-17
Last Update Date2018-12-17
Business Address
CHARLENE SPARKS PTA
393 S TUSTIN ST
ORANGE, CA 92866-2501
Phone number: 714-289-2400
Mailing Address
CHARLENE SPARKS PTA
393 S TUSTIN ST
ORANGE, CA 92866-2501
Phone number: 714-289-2400