Individual
KAILAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 CHANDLER OAKS LN, MC LEANSVILLE, NC 27301-9805
(336) 437-6817
Mailing address
5250 CHANDLER OAKS LN, MC LEANSVILLE, NC 27301-9805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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