Provider Demographics
NPI:1891439055
Name:PARRELLA, ANDREW JOHN (DPT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:JOHN
Last Name:PARRELLA
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:PO BOX 865
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-0015
Mailing Address - Country:US
Mailing Address - Phone:508-223-2300
Mailing Address - Fax:508-223-2340
Practice Address - Street 1:80 PARK ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2335
Practice Address - Country:US
Practice Address - Phone:508-223-2300
Practice Address - Fax:508-223-2340
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25709225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist