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Individual

MR. ROBERT JEFFREY PARKER

Active
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Individual

MR. ROBERT JEFFREY PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT,OCS,MS,ATC,COMT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 7332
WA
2251S0007X
Sports Physical Therapist
PT 7332
WA
2251X0800X
Orthopedic Physical Therapist
PT 7332
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8378358
WA
Enumeration date
09/14/2006
Last updated
12/16/2009
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