Active NPIIndividual provider

Miss Jacqueline M Sparks, OTR-L

Occupational Therapist in Conway, New Hampshire

NPI Number1700094653
Practice location
182 W Main St, Conway, NH 03818-6140
Fax
603-447-1114
Last updated
July 8, 2007

Jacqueline Merrill Sparks is an Occupational Therapist based in Conway, NH. Jacqueline Merrill Sparks practices in Conway, NH and has the professional credentials of OTR-L. The NPI Number for Jacqueline Merrill Sparks is 1700094653 and holds a License No. 0389 (NH). The current practice location address for Jacqueline Merrill Sparks is 182 W Main St, Conway, NH 03818-6140 and can be reached out via phone at 603-447-6356 and via fax at 603-447-1114.

Provider Profile Details

NPI Number
1700094653
Provider Name
Jacqueline Merrill Sparks
Credential
OTR-L
Provider Entity Type
Individual
Gender
Female
Address
182 W Main St, Conway, NH 03818-6140
Phone Number
603-447-6356
Fax Number
603-447-1114
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Other Names
Miss Jacqueline Ann Merrill, OTR-L (Other Name)
Provider Enumeration Date
May 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
182 W Main St
Conway, NH 03818-6140
City
Conway
Zip
03818-6140
Phone Number
603-447-6356
Fax Number
603-447-1114
Conway, NH 03818Get directions →

Provider Business Mailing Address Details

Address
127 Brownfield RD
Eaton Center, NH 03832-0028
City
Eaton Center
State
NH
Zip
03832-0028
Phone Number
603-447-5972

License Information

License Number
0389
License State
NH
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Jacqueline M Sparks, OTR-L?

The NPI number of Miss Jacqueline M Sparks, OTR-L is 1700094653. It was assigned on May 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Miss Jacqueline M Sparks, OTR-L?

Miss Jacqueline M Sparks, OTR-L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NH under license number 0389.

Where does Miss Jacqueline M Sparks, OTR-L practice?

The practice location is 182 W Main St, Conway, NH 03818-6140. The office can be reached at 603-447-6356 (phone) or 603-447-1114 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700094653 directly on the NPPES registry website.

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