Individual
KARYN RUSSELL PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
170 N CENTER ST, ORMOND BEACH, FL 32174-5186
(386) 672-7113
Mailing address
316 PERFECT DR, DAYTONA BEACH, FL 32124-2067
(603) 682-3087
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 12168
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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