Provider Demographics
NPI:1134264351
Name:PARKER, TOWANDA DENISE (LPTA)
Entity type:Individual
Prefix:MS
First Name:TOWANDA
Middle Name:DENISE
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7006 WINDSOR MILL RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-4419
Mailing Address - Country:US
Mailing Address - Phone:410-265-7983
Mailing Address - Fax:
Practice Address - Street 1:631 WASHINGTON BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-2214
Practice Address - Country:US
Practice Address - Phone:410-986-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA1627225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant