Provider Demographics
NPI:1518162551
Name:PARISI, ANN URSULA (PT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:URSULA
Last Name:PARISI
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 1:8300 WHISKEY PRESERVE CIRCLE
Mailing Address - Street 2:#116
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919
Mailing Address - Country:US
Mailing Address - Phone:978-879-9724
Mailing Address - Fax:
Practice Address - Street 1:40 RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5019
Practice Address - Country:US
Practice Address - Phone:800-810-5380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA28311225100000X
NH2499225100000X
CA29350225100000X
VA2305204104225100000X
NCP10020225100000X
FLPT22999225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist