Individual
SARAH R PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
917 BRIDGEPORT AVE, SHELTON, CT 06484-4679
(203) 225-7514
Mailing address
111 NEW HAVEN AVE, DERBY, CT 06418-2197
(203) 735-8335
(203) 735-3704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008476
CT
2251P0200X
Pediatric Physical Therapist
Primary
008476
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004398203
—
CT
Enumeration date
04/21/2009
Last updated
04/21/2009
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