Individual
MRS. AMY STACK PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
2711 RANDOLPH RD, CHARLOTTE, NC 28207-2034
(704) 256-4281
Mailing address
2711 RANDOLPH RD, CHARLOTTE, NC 28207-2034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12538
NC
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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