Organization
MARY R PARKER MPT PC
Active
Organization
MARY R PARKER MPT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY RAINEY PARKER MPT (PHYSICAL THERAPIST)
(912) 242-3402
Entity
Organization
Contact information
Practice address
236 FLORIDA ST, SAINT SIMONS ISLAND, GA 31522-2636
(912) 242-3402
(912) 638-2466
Mailing address
236 FLORIDA ST, SAINT SIMONS ISLAND, GA 31522-2636
(912) 242-3402
(912) 638-2466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004503
GA
Other
Enumeration date
08/30/2005
Last updated
08/22/2020
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