Provider Demographics
NPI:1043476997
Name:PARSONS, SIRI M (PT)
Entity Type:Individual
Prefix:MRS
First Name:SIRI
Middle Name:M
Last Name:PARSONS
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 1:34 CRAWFORD TER
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CT
Mailing Address - Zip Code:06878-1031
Mailing Address - Country:US
Mailing Address - Phone:203-249-4526
Mailing Address - Fax:
Practice Address - Street 1:345 BELDEN HILL RD
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-3800
Practice Address - Country:US
Practice Address - Phone:203-249-4526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4375225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist