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Individual

ELIZABETH M. PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
340 REDSTONE AVE W, CRESTVIEW, FL 32536-6433
(850) 689-3127
(850) 689-8504
Mailing address
1153 GULF BREEZE PKWY, GULF BREEZE, FL 32561-4835
(850) 932-6382
(850) 932-9215

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20321
FL

Other

Enumeration date
03/05/2008
Last updated
03/05/2008
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