Margaret Marie Sparks, COTA/L
Skilled Nursing Facility in Palmyra, MO. Individual provider (NPI-1).
NPI number1760670368
StatusActive
Last updated in NPPESOct 9, 2007
Details
- NPI
- 1760670368
- Entity type
- Individual (NPI-1)
- Name
- Ms. Margaret Marie Sparks
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2007
- Last updated
- Oct 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 20000169350 | MO | Yes |
Practice location
104 N East StPalmyra, MO 63461-1741
Phone 816-786-9372
Mailing address
104 N East StPalmyra, MO 63461-1741
Phone 816-786-9372
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