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1902155575
KORRIE SPARKS
IRVINE, CA
NPI
1902155575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: CA 298139)
Enumeration Date
2012-08-29
Last Update Date
2017-01-20
Business Address
KORRIE SPARKS OTD, OTR/L
19772 MACARTHUR BLVD SUITE #260
IRVINE, CA 92612-2413
Phone number: 949-891-0325
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Mailing Address
KORRIE SPARKS OTD, OTR/L
31912 9TH AVE
LAGUNA BEACH, CA 92651-6801
Phone number:
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