Individual
ALEX BENTON PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
906 THOMPSON ST, ASHLAND, VA 23005-1128
(804) 798-3291
Mailing address
918 N 25TH ST, RICHMOND, VA 23223-6563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606885
VA
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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