Sandra Jean Fark
NPI #1487879409 in Murphysboro, Illinois
Provider Information
- NPI Number
- 1487879409
- Entity Type
- Individual
- Name
- Sandra Jean Fark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 SCENIC VIEW LN
- City
- Murphysboro
- State
- Illinois
- ZIP Code
- 62966-4755
- Phone
- (618) 687-2160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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