Individual
MRS. CONNIE GLOVER PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
Mailing address
855 SYCAMORE DR, AIKEN, SC 29803-8471
(803) 642-7498
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1648
SC
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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