Parks Engstrom
Early Intervention Provider Agency in Clemmons, NC. Individual provider (NPI-1).
NPI number1164077228
StatusActive
Last updated in NPPESAug 6, 2019
Details
- NPI
- 1164077228
- Entity type
- Individual (NPI-1)
- Name
- Parks Engstrom
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2019
- Last updated
- Aug 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
120 Bickerstaff RdClemmons, NC 27012-9053
Phone 336-829-4282
Mailing address
120 Bickerstaff RdClemmons, NC 27012-9053
Phone 336-829-4282
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