Individual
TERANCE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
716 SOUTHWICK AVE, GROVETOWN, GA 30813-4277
(240) 316-5884
Mailing address
716 SOUTHWICK AVE, GROVETOWN, GA 30813-4277
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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