Johanna Glen Sparks, OT
NPI #1508015611 in Ithaca, New York
Provider Information
- NPI Number
- 1508015611
- Entity Type
- Individual
- Name
- Johanna Glen Sparks, OT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OT
- Enumeration Date
- Sep 12, 2008
- Last Updated
- Sep 12, 2008
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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