NPI 1003025966

Laura J Sparks, PT

Practitioner Physical Therapist Cumming, GA

Practice location

Address: 100 Mountain View Dr Suite 100, Cumming, GA 30040-2434
Phone: (770) 889-2163
Mailing address: 2204 Glenridge Ln, Cumming, GA 30041-0200

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT008014 (GA)

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Registry record

NPI: 1003025966
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.