| NPI | 1457050312 |
|---|---|
| Doing Business As | SPARK PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | ERIKA TRUMP Owner 757-679-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |