DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THEODORE J PARKER

Active Sole Proprietor

MR. THEODORE J PARKER is a Pediatric Occupational Therapist healthcare provider located in CENTEREACH, New York. NPI 1215211784 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · CENTEREACH, NY

Registration Details

NPI Number
1215211784
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2011 (14.907889155546 yrs)
Last Updated
Oct 3, 2011
License
011538-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
9 SIMON AVE
CENTEREACH, NY, 117204408
Browse NY providers · Browse ZIP 11720
Phone
6317662897
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in CENTEREACH, NY

Name Credential NPI
MS. CRISTIN ANN MILLER MS OTRL 1972714517
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.