Spark Physical Therapy & Sports Performance INC
NPI #1750042446 in Buena Park, California
Provider Information
- NPI Number
- 1750042446
- Entity Type
- Organization
- Organization Name
- Spark Physical Therapy & Sports Performance INC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jan 4, 2022
- Last Updated
- Jan 4, 2022
Practice Location
- Address
- 8575 1/2 KNOTT AVE
- City
- Buena Park
- State
- California
- ZIP Code
- 90620-3850
- Phone
- (714) 335-3182
Authorized Official
- Name
- ZIAD DAHDUL
- Title
- PRESIDENT
- Phone
- (714) 335-3182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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