Individual
ASHLEY SUE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1001 MAR WALT DR, FORT WALTON BEACH, FL 32547-6780
(260) 557-9500
Mailing address
208 STONEGATE DR, SANTA ROSA BEACH, FL 32459-6269
(260) 557-9500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
1700604762
IN
Other
Enumeration date
01/05/2010
Last updated
05/13/2021
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