Individual
JAKE DALTON PARLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
3800 FOREST ACRES, COLUMBIA, SC 29204
(803) 764-2363
Mailing address
105 OLD CARRIAGE LN, BARNWELL, SC 29812-8061
(803) 671-1908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11618
SC
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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