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Individual

TIMOTHY JAMES PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
20894 ATLANTA RD, SEAFORD, DE 19973-6515
(302) 629-7261
Mailing address
20894 ATLANTA RD, SEAFORD, DE 19973-6515
(302) 629-7261

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A02239
MD
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001591
DE

Other

Enumeration date
09/22/2016
Last updated
09/22/2016
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