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Individual

SANDRA ANN PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3937 PATIENT CARE DR STE 105, LANSING, MI 48911-4287
(517) 272-9320
(517) 272-9321
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003090
MI
225200000X
Physical Therapy Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30658
BCBSM
MI
Enumeration date
06/06/2007
Last updated
07/18/2023
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