MRS. Carol Diane Parks, CT, CLT

NPI #1619310380 in Mentor, Ohio

Provider Information

NPI Number: 1619310380
Entity Type: Individual
Name: MRS. Carol Diane Parks, CT, CLT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist/Technologist, Other - Art, Medical
Credential: CT, CLT
Enumeration Date: Apr 12, 2013
Last Updated: Apr 12, 2013

Practice Location

Address: 8565 MENTOR AVE.
City: Mentor
State: Ohio
ZIP Code: 44060
Phone: (440) 974-7966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Art, Medical — Art, Medical	246ZA2600X	Primary

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