Individual
MRS. LESLIE PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
700 NUCKOLLS RD, BOLIVAR, TN 38008-1531
(731) 658-4707
(731) 658-6956
Mailing address
3257 OLD TRAIL CV, LAKELAND, TN 38002-8240
(731) 658-4707
(731) 658-6956
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
15887
TN
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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