SPARKS THERAPY SERVICES, PLLC
Speech Language Pathology at Park Ridge Ter, Arlington, TX

License number
Texas 1049997
Category
Restorative Service Providers
Type
Physical Therapist
License number
Texas 1121283
Category
Restorative Service Providers
Type
Physical Therapist
License number
Texas 1169113
Category
Restorative Service Providers
Type
Physical Therapist
License number
Texas 2030625
Category
Restorative Service Providers
Type
Physical Therapy Assistant
License number
Texas 2057623
Category
Restorative Service Providers
Type
Physical Therapy Assistant
License number
Texas 102442
Category
Restorative Service Providers
Type
Occupational Therapist
License number
Texas 15357
Category
Speech Language Pathology
Type
Speech-Language Pathologist
License number
Texas 15474
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: SUSAN L. SPARKS
Title: PHYSICAL THERAPIST/MANAGING MEMBER
Phone: (214) 597-8188
Address
Address
1506 Park Ridge Ter, Arlington, TX 76012
National Provider ID: 1255505871
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SPARKS THERAPY SERVICES, PLLC

Arlington, TX

Status:
Inactive
Industry:
Services-Misc
Doing business as:
Sparks Therapy Services, Pllc
Registration:
Sep 5, 2007
Addresses:
1506 Park Rdg Ter, Arlington, TX 76012 (Mailing)
PO Box 122450, Arlington, TX 76012
State ID:
0800867322
Business type:
Domestic Limited Liability Company (LLC)
DIRECTOR, Director, Member:
Susan L Sparks (DIRECTOR, Director, Member), PO Box 122450, Arlington, TX 76012
Agent:
Peter F Bagley,2304 W I-20 SUITE 190, Arlington, TX 76017 (Physical)
TIN:
32033680508

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