Individual
MRS. TINA M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 ANSON ST, SALEM, IN 47167-1982
(812) 883-4681
Mailing address
13645 FREDERICKSBURG RD NW, DEPAUW, IN 47115-8303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000951A
IN
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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