Individual
SUSAN ANN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1414 W FAIR AVE, SUITE 348, MARQUETTE, MI 49855-2675
(906) 225-7960
(906) 225-7983
Mailing address
1414 W FAIR AVE, SUITE 348, MARQUETTE, MI 49855-2675
(906) 225-7960
(906) 225-7983
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501003484
MI
2251P0200X
Pediatric Physical Therapist
Primary
5501003484
MI
Other
Enumeration date
11/10/2008
Last updated
11/12/2008
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