Individual
DESMOND PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
508 E 10TH ST SE, ROME, GA 30161-6216
(706) 506-3349
Mailing address
508 E 10TH ST SE, ROME, GA 30161-6216
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003384
GA
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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