Individual
MRS. MICHELLE DEANGEL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3600 DARTMOUTH RD, HUTCHINSON, KS 67502-2270
(620) 663-9175
Mailing address
PO BOX 154, HAVEN, KS 67543-0154
(620) 755-5212
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T03080
KS
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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