Individual
JENNIFER LYNN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1612 MARION ST STE 113, COLUMBIA, SC 29201-2939
(803) 253-6721
Mailing address
1612 MARION ST STE 113, COLUMBIA, SC 29201-2939
(803) 253-6721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2512
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650020121
RAILROAD MEDICARE
SC
Enumeration date
06/26/2006
Last updated
09/04/2012
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