Most Relevant Information
Provider Data
| NPI Number: | 1003025966 |
| Provider Name: | LAURA J SPARKS P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT008014 |
Most Important Dates
| Enumeration Date: | 05/21/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
100 MOUNTAIN VIEW DR
SUITE 100
CUMMING
GA
300402434
Practice Location Phone/Fax
| Phone: | 7708892163 |
| Fax: |
Provider Mailing Location
2204 GLENRIDGE LN
CUMMING
GA
300410200
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |