Individual
RYAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
83 CROSSROADS LANE, FISHERSVILLE, VA 22939
(540) 885-8424
Mailing address
123 QUINTON OAKS LN, CALLAO, VA 22435-2427
(804) 761-4669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007651
VA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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