Christine Louise Sparks
Occupational Therapist Occupational Therapist - Gerontology
630 N Fodale Ave
Southport
, North Carolina 28461-3538
Christine Louise Sparks
Occupational Therapist Occupational Therapist - Gerontology
630 N Fodale Ave
Southport
, North Carolina 28461-3538
(910) 457-0830
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Christine Louise Sparks
- 630 N Fodale Ave
- Southport, NC
- Zip : 28461-3538
- Phone : (910) 457-0830
Second Address
- Christine Louise Sparks
- 630 N Fodale Ave
- Southport, NC
- Zip : 28461-3538
- Phone : (910) 457-0830
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 31002164A | IN |
| Y | 225X00000X | Occupational Therapist | 6146 | NC |
| N | 225XG0600X | Occupational Therapist - Gerontology | 31002164A | IN |
| N | 225XG0600X | Occupational Therapist - Gerontology | 6146 | NC |
National Provider Identifier
| NPI | 1225278229 |
|---|---|
| Provider Name | Christine Louise Sparks |
| First Address | Southport, NC 28461-3538 |
| Second Address | Southport, NC 28461-3538 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2009 |
| Last Update Date | 03/03/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.