Individual
ANDREW JOHN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5400 N 118TH CT, MILWAUKEE, WI 53225-3086
(414) 257-4673
Mailing address
5400 N 118TH CT, MILWAUKEE, WI 53225-3086
(414) 257-4673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12937-24
WI
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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