Individual
VICTORIA LYNN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
151 MATTIE LN, TAZEWELL, TN 37879-5086
(423) 626-8493
Mailing address
151 MATTIE LN, TAZEWELL, TN 37879-5086
(423) 626-8493
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4001
TN
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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