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1528764172
BROCK SPARKS
WINSTON SALEM, NC
NPI
1528764172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P21931)
Enumeration Date
2023-02-06
Last Update Date
2025-12-10
Business Address
BROCK SPARKS DPT
1901 MOONEY ST
WINSTON SALEM, NC 27103-3027
Phone number: 336-716-8091
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Mailing Address
BROCK SPARKS DPT
100 KIMEL FOREST DR
WINSTON SALEM, NC 27103-6074
Phone number: 336-716-2255
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