IndividualActive
Jacqueline Sparks, OTR-L
NPI 1700094653 · Occupational Therapist · Conway, NH
Provider details
- NPI number
- 1700094653
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR-L
- Sex
- Female
- Sole proprietor
- No
- License
- 0389 (NH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
182 W Main St
Conway, NH 03818-6140
Phone: (603) 447-6356
Fax: (603) 447-1114
Approximate (ZIP-level) locationGet directions
Mailing address
127 Brownfield Rd
Eaton Center, NH 03832-0028
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.