Doctor Name: | C BRUCE PARKER |
NPI Number: | 1629187356 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 22757 72nd Ave S Ste 102 Kent, WA - 980322459 |
Business Phone Number: | 2538724118 |
Business Fax Number: | |
Mailing Address: | 4031 49th Ave Sw, SEATTLE |
State: | WA |
Postal Code: | 981163608 |
Phone Number: | 2069387555 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |