MEDICARE: TERRIN MARIE PARKER PT

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	225100000X	Physical Therapist	PT.015089	OH

General Provider Information

NPI Number	:	1316189749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRIN MARIE PARKER PT

Provider Business Mailing Address
First Line	:	4440 GLEN ESTE WITHAMSVILLE RD
Second Line	:	SUITE 1500
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1318
Country	:	US
Telephone Number	:	513-753-2133
Fax Number	:	513-753-1804

Provider Business Practice Location Address
First Line	:	4440 GLEN ESTE WITHAMSVILLE RD
Second Line	:	SUITE 1500
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1318
Country	:	US
Telephone Number	:	513-753-2133
Fax Number	:	513-753-1804

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

Provider Enumeration Date	:	03/31/2009
Last Update Date	:	12/26/2014

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