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Individual

MRS. KRISTINA NICOLE PARKER

Active
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Individual

MRS. KRISTINA NICOLE PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028956
NY
2251P0200X
Pediatric Physical Therapist
10943
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000932122002
HEALTH NOW
NY
01
204487134
BCBS CNY
NY
01
5464900002
MEDICARE DME REGION A
NY
01
705517
MANAGED PHYSICAL NETWORK
NY
Enumeration date
12/26/2006
Last updated
05/29/2019
About Stedi
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