Individual
ELLSWORTH PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2064 AYRSLEY TOWN BLVD, CHARLOTTE, NC 28273-4220
(980) 939-1580
(980) 939-1128
Mailing address
2064 AYRSLEY TOWN BLVD, CHARLOTTE, NC 28273-4220
(980) 939-1580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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