Individual
BRIAN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
715 E KING ST, SEAFORD, DE 19973-3505
(302) 628-3000
Mailing address
12 CHESAPEAKE DR, SEAFORD, DE 19973-5794
(302) 745-0776
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000433
DE
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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