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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHANNA GLEN SPARKS, OT

Active

JOHANNA GLEN SPARKS, OT is a Occupational Therapist healthcare provider located in ITHACA, New York. NPI 1508015611 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ITHACA, NY

Registration Details

NPI Number
1508015611
Provider Type
Individual
Gender
Female
NPI Issued
Sep 12, 2008 (17.886751453752 yrs)
Last Updated
Sep 12, 2008
License
001684-1 (NY)

Practice Information

Address
1592 MECKLENBURG RD
ITHACA, NY, 148509243
Browse NY providers · Browse ZIP 14850
Phone
6075923209
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in ITHACA, NY

Name Credential NPI
SARAH WHITE 1376676726
SHAILA SINGH 1972762474
MS. KAREN ANNE BLACK OTR/L 1104075449
KELDA NICOLE MCGURK OT 1609020833
MS. SYLVIA J. BAILEY OTR/L 1093958951
NANCY S. QUARRIER O.T.R. 1639300882
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.