Individual
ANTOINETTE DESHAWN PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3095 EASTEND DR, HUMBOLDT, TN 38343-1902
(731) 824-2221
Mailing address
14540 HIGHWAY 18 S, BOLIVAR, TN 38008-3603
(731) 609-3196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16168
TN
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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