AUTUMN SPARKS

WEST ALLIS, WI
NPI1598153884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2015-01-08
Last Update Date2015-01-08
Business Address
-- AUTUMN SPARKS
2222 S 114TH ST
WEST ALLIS, WI 53227-1031
Phone number: 414-963-5940
Mailing Address
-- AUTUMN SPARKS
2222 S 114TH ST
WEST ALLIS, WI 53227-1031
Phone number: 414-963-5940
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