Individual
MARY Y PARKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4500 TOWSON AVE, SUITE L0LA, FORT SMITH, AR 72901-7994
(479) 709-7000
(479) 709-7051
Mailing address
4500 TOWSON AVE, SUITE L0LA, FORT SMITH, AR 72901-7994
(479) 709-7000
(479) 709-7051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5U331
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U331
AR BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/13/2006
Last updated
07/08/2007
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