Provider Demographics
NPI:1033529821
Name:PARKER, JOSHUA L (CPO)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:L
Last Name:PARKER
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:223 HERLONG AVE S STE 110
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1089
Mailing Address - Country:US
Mailing Address - Phone:038-980-5080
Mailing Address - Fax:803-980-5083
Practice Address - Street 1:10502 PARK RD STE 170
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-6490
Practice Address - Country:US
Practice Address - Phone:046-971-1057
Practice Address - Fax:704-544-3438
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2023-09-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist