Individual
JILL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 E CRINER ST, GRANDVIEW, TX 76050-2186
(817) 223-1552
Mailing address
503 E CRINER ST, GRANDVIEW, TX 76050-2186
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212692
TX
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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