Individual
EVA DOUGLASS PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 59TH ST W, BRADENTON, FL 34209-4602
(941) 761-1000
Mailing address
24242 BAILEY NECK DR, ONANCOCK, VA 23417-2922
(757) 710-5479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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