Individual
TESHIA MICHELL PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2660 CHILI AVE APT 14-4, ROCHESTER, NY 14624-4142
(585) 544-4002
Mailing address
2660 CHILI AVE, ROCHESTER, NY 14624-4101
(585) 544-4002
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007871
NY
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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