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1588001804
ILYA PARKER
CHARLOTTE, NC
NPI
1588001804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A4548)
Enumeration Date
2013-05-28
Last Update Date
2013-05-28
Business Address
Mr. ILYA PARKER PTA
5131 SPRINGVIEW RD
CHARLOTTE, NC 28213-6764
Phone number: 704-604-5545
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Mailing Address
Mr. ILYA PARKER PTA
5131 SPRINGVIEW RD
CHARLOTTE, NC 28213-6764
Phone number:
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