Individual
MS. JACQUELINE ANN PARKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1580 MAC DAVIS RD, COLUMBUS, MS 39702-7119
(662) 328-8030
Mailing address
1580 MAC DAVIS RD, COLUMBUS, MS 39702-7119
(662) 328-8030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2939
MS
225100000X
Physical Therapist
PTH3784
AL
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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