Individual
MAKENNA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
(888) 979-6551
Mailing address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
(888) 979-6551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC16164
PA
Other
Enumeration date
02/08/2019
Last updated
02/14/2019
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