Individual
MR. TRAVIS WOODFORD PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1974 N FAIRFIELD RD, DAYTON, OH 45432
(937) 429-1106
Mailing address
31 GLENADA CT, NEW LEBANON, OH 45345-1435
(937) 533-3603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06275
OH
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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