Individual
ODESSA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 VINE STREET, EL DORADO, AR 71730
(870) 862-1144
Mailing address
169 PINE CREST ROAD, EL DORADO, AR 71730
(870) 315-2094
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
4357
AR
225200000X
Physical Therapy Assistant
Primary
A10128R
LA
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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