Lesli Brooke Sparkman, OT

NPI #1316281462 in Hazard, Kentucky

Provider Information

NPI Number: 1316281462
Entity Type: Individual
Name: Lesli Brooke Sparkman, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 210 BLACK GOLD BLVD
Address 2: SUITE 103
City: Hazard
State: Kentucky
ZIP Code: 41701-2620
Phone: (606) 487-7390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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