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1861868820
JAY D SPARKS
WAUSAU, WI
NPI
1861868820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13000-24)
Enumeration Date
2015-08-13
Last Update Date
2022-10-18
Business Address
JAY D SPARKS PT, DPT
227500 RIB MOUNTAIN DR STE 220
WAUSAU, WI 54401-5052
Phone number: 800-974-4378
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Mailing Address
JAY D SPARKS PT, DPT
24014 W RENWICK RD UNIT 206
PLAINFIELD, IL 60544-8711
Phone number: 800-974-4378
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