Provider Demographics
NPI:1013005610
Name:PARRY, INGRID S (PT)
Entity Type:Individual
Prefix:MRS
First Name:INGRID
Middle Name:S
Last Name:PARRY
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 1:3401 FOLSOM BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5354
Mailing Address - Country:US
Mailing Address - Phone:916-455-5524
Mailing Address - Fax:916-455-5584
Practice Address - Street 1:3401 FOLSOM BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5354
Practice Address - Country:US
Practice Address - Phone:916-455-5524
Practice Address - Fax:916-455-5584
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT21002225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist