Provider Demographics
NPI:1609009232
Name:PARKER, MARIEANTOINETTE HATEM (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARIEANTOINETTE
Middle Name:HATEM
Last Name:PARKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1354 LONGHOPE RD
Mailing Address - Street 2:
Mailing Address - City:TODD
Mailing Address - State:NC
Mailing Address - Zip Code:28684-9521
Mailing Address - Country:US
Mailing Address - Phone:828-262-3546
Mailing Address - Fax:
Practice Address - Street 1:1354 LONGHOPE RD
Practice Address - Street 2:
Practice Address - City:TODD
Practice Address - State:NC
Practice Address - Zip Code:28684-9521
Practice Address - Country:US
Practice Address - Phone:828-262-3546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6094225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist