Deidre Sparks

NPI #1013568393 in Wynne, Arkansas

Provider Information

NPI Number: 1013568393
Entity Type: Individual
Name: Deidre Sparks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 26, 2019
Last Updated: Sep 26, 2019

Practice Location

Address: 1871 FALLS BLVD N
City: Wynne
State: Arkansas
ZIP Code: 72396-4026
Phone: (870) 208-8989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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