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1841561297
SHAUNA MARIE SPARKS
KISSIMMEE, FL
NPI
1841561297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA 10294)
Enumeration Date
2012-01-17
Last Update Date
2024-11-05
Business Address
Ms. SHAUNA MARIE SPARKS COTA/L
1200 N CENTRAL AVE STE 110
KISSIMMEE, FL 34741-4439
Phone number: 407-201-7429
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Mailing Address
Ms. SHAUNA MARIE SPARKS COTA/L
6386 VINELAND RD UNIT 102
ORLANDO, FL 32819-7854
Phone number: 321-305-9663
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