Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARAH JEANETTE-GONZALEZ SPARKMAN, DPT
ActiveTARAH JEANETTE-GONZALEZ SPARKMAN, DPT is a Physical Therapy Assistant healthcare provider located in BLUE JAY, California. NPI 1841706520 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BLUE JAY, CA
Registration Details
- NPI Number
- 1841706520
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2017 (8.5102505228804 yrs)
- Last Updated
- Jul 9, 2025
- License
-
293650 (CA)
Practice Information
- Address
-
27169 CA. HWY 189SUITE 2BLUE JAY, CA, 92317Browse CA providers · Browse ZIP 92317
- Phone
- 9097544097
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.