Individual
MR. JARRED ANTHONY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
240 EAST ST, SELECT PHYSICAL THERAPY, PLAINVILLE, CT 06062-2935
(860) 793-6882
Mailing address
7 CAMDEN WAY, AVON, CT 06001-3236
(860) 940-5477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007631
CT
2251X0800X
Orthopedic Physical Therapist
007631
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007631
LICENSE
CT
Enumeration date
07/21/2008
Last updated
01/06/2015
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