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Individual

KELLI FAYE PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 MERIDIAN ST N, HUNTSVILLE, AL 35811-1845
(256) 852-5170
Mailing address
1318 BUTTER AND EGG RD, HAZEL GREEN, AL 35750-8315
(931) 993-6794

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3198
TN
225X00000X
Occupational Therapist
4967
AL

Other

Enumeration date
04/27/2019
Last updated
11/17/2021
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