Individual
MARIANNE MOORE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3628 OLD PETERSBURG RD, MARTINEZ, GA 30907
(706) 364-3470
Mailing address
15126 DUNBARTON BLVD, BARNWELL, SC 29812-7704
(803) 671-2902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006558
GA
Other
Enumeration date
09/20/2016
Last updated
07/03/2018
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