Individual
LESA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
111 HARRILSON ROAD, CHERRYVILLE, NC 28021
(704) 435-0108
Mailing address
3290 HARMON ROAD, LINCOLNTON, NC 28092
(704) 913-2943
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
861
NC
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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