NPI 1235301177

Tracey Lynn Sparks, COTAL

Practitioner Occupational Therapy Assistant Davenport, IA

Practice location

Address: 1701 Eagles Crest Ave F-6, Davenport, IA 52804-5083
Phone: (309) 635-0454
Mailing address: 1701 Eagles Crest Avenue F-6, Davenport, IL 52804-3652

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

Other Occupational Therapy Assistant providers in Iowa →

Registry record

NPI: 1235301177
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2008
Record last updated: 1 Apr 2008

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.