Individual
WENDY VANN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12997 NETTLES DR, NEWPORT NEWS, VA 23602-6913
(757) 249-8880
Mailing address
3304 YEATES DR, SUFFOLK, VA 23435-1830
(757) 642-1367
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000442
VA
226000000X
Recreational Therapist Assistant
0131000442
VA
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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