Individual
MRS. MELISSA WILLIAMS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 JACKSON ST, ALEXANDRIA, LA 71301-6929
(318) 448-3848
Mailing address
1300 JACKSON ST, ALEXANDRIA, LA 71301-6929
(318) 448-3848
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
Z12340
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720208
—
LA
Enumeration date
06/04/2008
Last updated
06/04/2008
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