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1326585415
BRIAN PARKS
SEAFORD, DE
NPI
1326585415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DE J2-0000433)
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
-- BRIAN PARKS PTA
715 E KING ST
SEAFORD, DE 19973-3505
Phone number: 302-628-3000
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Mailing Address
-- BRIAN PARKS PTA
12 CHESAPEAKE DR
SEAFORD, DE 19973-5794
Phone number: 302-745-0776
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