Individual
MS. BLAINE A. PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2200 GUM BRANCH RD, SUITE G, JACKSONVILLE, NC 28540-4574
(910) 353-9800
Mailing address
2200 GUM BRANCH RD, SUITE G, JACKSONVILLE, NC 28540-4574
(910) 353-9800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5957
NC
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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