Jerrell Parker
Physical Therapy Assistant in Raleigh, NC. Individual provider (NPI-1).
NPI number1437769080
StatusActive
Last updated in NPPESAug 7, 2020
Details
- NPI
- 1437769080
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jerrell Parker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2020
- Certification date
- Aug 7, 2020
- Last updated
- Aug 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A4596 | NC | Yes |
Practice location
11200 Governor Manly WayRaleigh, NC 27614-8599
Phone 919-562-9410
Mailing address
2213 Woodwyck WayRaleigh, NC 27604-6128
Phone 919-884-1335
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All 140 Physical Therapy Assistant providers in Raleigh · All 22,031 providers in Raleigh
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