Individual
JONATHAN RYAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1434 W CHICAGO BLVD., TECUMSEH, MI 49286-8727
(517) 563-3378
(517) 563-4527
Mailing address
1800 W US 223, SUITE 100, ADRIAN, MI 49221-8439
(517) 263-3378
(517) 263-4527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010837
MI
Other
Enumeration date
03/28/2007
Last updated
10/07/2009
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