Individual
MR. DERRICK ADRIAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
9214 ROYAL HIGHLANDS CT, CHARLOTTE, NC 28277-1782
(704) 919-0586
Mailing address
9214 ROYAL HIGHLANDS CT, CHARLOTTE, NC 28277-1782
(704) 919-0586
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2771
SC
224Z00000X
Occupational Therapy Assistant
6068
NC
Other
Enumeration date
12/19/2010
Last updated
01/07/2011
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