Individual
AMANDA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
114 WILLOW PL, BRANDON, MS 39047-6389
(601) 502-6054
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
RCP-2132
MS
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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