MEDICARE: MR. DAVID EARL PARKER MS, PT, OCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	1905	NC

General Provider Information

NPI Number	:	1235188509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID EARL PARKER MS, PT, OCS

Provider Business Mailing Address
First Line	:	110 MEL OAK DR
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-9305
Country	:	US
Telephone Number	:	919-967-5662
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 E FRANKLIN ST
Second Line	:	SUITE 104
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-2812
Country	:	US
Telephone Number	:	919-968-4777
Fax Number	:	919-968-4737

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2006
Last Update Date	:	07/08/2007

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