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Individual

DAVID P. PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
104 W HURON ST, BERLIN, WI 54923-1517
(920) 361-1140
Mailing address
104 W. HURON ST, BERLIN, WI 54923-1517
(920) 361-1140

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2726-024
WI

Other

Enumeration date
12/24/2007
Last updated
12/24/2007
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