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1811107519
TRAVIS WOODFORD PARKER
DAYTON, OH
NPI
1811107519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 06275)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mr. TRAVIS WOODFORD PARKER PTA
1974 N FAIRFIELD RD
DAYTON, OH 45432
Phone number: 937-429-1106
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Mailing Address
Mr. TRAVIS WOODFORD PARKER PTA
31 GLENADA CT
NEW LEBANON, OH 45345-1435
Phone number: 937-533-3603
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