Provider Demographics
NPI:1962634386
Name:PARONG, MARIA CARMINA WI (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA CARMINA
Middle Name:WI
Last Name:PARONG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1854 ROLFE WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23238-5837
Mailing Address - Country:US
Mailing Address - Phone:804-412-1449
Mailing Address - Fax:804-752-4567
Practice Address - Street 1:1854 ROLFE WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23238-5837
Practice Address - Country:US
Practice Address - Phone:804-740-4295
Practice Address - Fax:804-752-4567
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2305005868225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist