Vicky Sparks, OTR/L

NPI #1023322104 in Dacula, Georgia

Provider Information

NPI Number
1023322104
Entity Type
Individual
Name
Vicky Sparks, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTR/L
Enumeration Date
Aug 2, 2010
Last Updated
Aug 2, 2010

Practice Location

Address
3187 HIGHLAND FORGE TRL
City
Dacula
State
Georgia
ZIP Code
30019-6721
Phone
(770) 904-6009

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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