Provider Demographics
NPI:1033895172
Name:PARKER, AUGUST CLAIRE (OTD, OTR)
Entity Type:Individual
Prefix:
First Name:AUGUST
Middle Name:CLAIRE
Last Name:PARKER
Suffix:
Gender:F
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HOSPITAL CENTER BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-8702
Mailing Address - Country:US
Mailing Address - Phone:843-476-4682
Mailing Address - Fax:843-949-3022
Practice Address - Street 1:75 BAYLOR DR STE 250
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-8988
Practice Address - Country:US
Practice Address - Phone:843-476-4682
Practice Address - Fax:843-949-3022
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-23
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
SC7073225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist