Individual
MR. CAMERON DAVID PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
920 E 16TH ST, CLAREMORE, OK 74017-3165
(918) 283-1257
Mailing address
920 E 16TH ST, CLAREMORE, OK 74017-3165
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2238
OK
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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