Individual
JEREMY PARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
500 CHESTNUT AVE, LOYOLA BLAKEFIELD, TOWSON, MD 21204-3704
(443) 841-3358
(443) 841-3105
Mailing address
1732 GLEN RIDGE RD, PARKVILLE, MD 21234-5212
(410) 812-1242
(443) 841-3105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000156
MD
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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