Individual
AMBER PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
913 N 24TH ST, VAN BUREN, AR 72956-3743
(479) 474-7059
Mailing address
725 CHARMONT DR, CHARLESTON, AR 72933-9084
(479) 746-4045
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1187
AR
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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