Individual
PARKER P HABERSTROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 CHURCH RD W STE 112, SOUTHAVEN, MS 38671-7154
(662) 548-3650
(662) 654-8029
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7508
MS
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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