Individual
JULIE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC-L
Contact information
Practice address
24715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-3207
(586) 779-7970
(586) 779-7748
Mailing address
2815 NORMANDY RD, ROYAL OAK, MI 48073-2224
(586) 260-1610
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000700
MI
2255A2300X
Athletic Trainer
—
MI
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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