TRACEY SPARKS, COTA/L

Occupational Therapy Assistant

Active Individual
NPI: 1235301177

Practice Address

1701 EAGLES CREST AVE
F-6
Davenport, IA 52804

Phone: (309) 635-0454

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes -

Frequently Asked Questions

NPI 1235301177 is the National Provider Identifier for TRACEY SPARKS, COTA/L, a Occupational Therapy Assistant provider located in Davenport, IA. This NPI was enumerated on April 1, 2008.
TRACEY SPARKS, COTA/L practices at 1701 EAGLES CREST AVE, F-6, Davenport, IA 52804.

Quick Facts

NPI
1235301177
Type
Individual
Enumerated
Apr 1, 2008
Last Updated
Apr 1, 2008

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