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Individual

KELLY PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR

Contact information

Practice address
6202 17TH AVE W, BRADENTON, FL 34209-7838
(941) 792-1404
Mailing address
2002 HOLCOMBE BLVD, SUITE 2B-301, HOUSTON, TX 77030-4211

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
114674
TX
225X00000X
Occupational Therapist
Primary
OT18574
FL

Other

Enumeration date
01/03/2013
Last updated
05/19/2023
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