Individual
THADDEUS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 MAIN AVE SW, CULLMAN, AL 35055
(256) 775-3737
(256) 775-3738
Mailing address
251 JOHNSTON STREET SE SUITE 200, DECATUR, AL 35601
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
AL
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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