STEPHANIE MICHELLE SPARKS

LACEY, WA
NPI1851849061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60595256)
Enumeration Date2016-09-15
Last Update Date2016-09-15
Business Address
STEPHANIE MICHELLE SPARKS DPT
4524 INTELCO LOOP SE
LACEY, WA 98503-5941
Phone number: 360-491-9890
Mailing Address
STEPHANIE MICHELLE SPARKS DPT
4524 INTELCO LOOP SE
LACEY, WA 98503-5941
Phone number: 360-491-9890
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