Provider Demographics
NPI:1457862971
Name:PAZOKI, PARISA (DPT)
Entity Type:Individual
Prefix:
First Name:PARISA
Middle Name:
Last Name:PAZOKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10706 ROSEHAVEN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2827
Mailing Address - Country:US
Mailing Address - Phone:202-460-8571
Mailing Address - Fax:
Practice Address - Street 1:2944 HUNTER MILL RD STE 103
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-1761
Practice Address - Country:US
Practice Address - Phone:202-460-8571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305208612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist