Healthcare Provider Details

I. General information

NPI: 1538497102
Provider Name (Legal Business Name): HELEN CHRISTINE PARKER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2009
Last Update Date: 11/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 MILLENIA BLVD
ORLANDO FL
32839-6051
US

IV. Provider business mailing address

9693 RED LILY PL
ORLANDO FL
32827-6800
US

V. Phone/Fax

Practice location:
  • Phone: 407-363-9888
  • Fax: 407-363-7888
Mailing address:
  • Phone: 407-816-1490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberOT3885
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: