Most Relevant Information
Provider Data
| NPI Number: | 1003044405 |
| Provider Name: | BETH E PARKS PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 009021-1 |
Most Important Dates
| Enumeration Date: | 06/24/2009 |
| Last Updated: | 06/24/2009 |
Provider Practice Location
257 POLLARD HILL RD
JOHNSON CITY
NY
137904206
Practice Location Phone/Fax
| Phone: | 6077601317 |
| Fax: | 6078623379 |
Provider Mailing Location
257 POLLARD HILL RD
JOHNSON CITY
NY
137904206
Provider Mailing Phone/Fax
| Phone: | 6077601317 |
| Fax: | 6078623379 |