Whalio Doctors

NPI 1023322104

Vicky Sparks, OTRL

Practitioner Occupational Therapist Dacula, GA

Practice location

Address
3187 Highland Forge Trl, Dacula, GA 30019-6721
Phone
(770) 904-6009
Fax
(770) 904-2357

Registered specialties

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT002424 (GA)

Registry record

NPI
1023322104
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Aug 2010
Record last updated
2 Aug 2010

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.