Individual
JESSICA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
108 CLINTON PKWY, CLINTON, MS 39056-4730
(601) 926-2018
Mailing address
108 CLINTON PKWY, CLINTON, MS 39056-4730
(601) 926-2018
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4868
MS
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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