Provider Demographics
NPI:1851017107
Name:PARZYCH, ADRIAN (DPT)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:PARZYCH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 ALPER CENTER DR UNIT 2304
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-1538
Mailing Address - Country:US
Mailing Address - Phone:914-621-6412
Mailing Address - Fax:
Practice Address - Street 1:915 ALPER CENTER DR UNIT 2304
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-1538
Practice Address - Country:US
Practice Address - Phone:914-621-6412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA303036225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA303036OtherLICENSE NUMBER