Individual
KEITH THOMAS PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
4424 VENUS AVE, HARRISBURG, PA 17112-9122
(302) 690-6993
Mailing address
1926 MARKET ST, CAMP HILL, PA 17011-4701
(717) 506-5668
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010937
PA
Other
Enumeration date
11/27/2009
Last updated
12/01/2021
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