Provider Demographics
NPI:1245641349
Name:PARADY, ANNE
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:PARADY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10435 W PLUM TREE CIR APT 101
Mailing Address - Street 2:
Mailing Address - City:HALES CORNERS
Mailing Address - State:WI
Mailing Address - Zip Code:53130-2645
Mailing Address - Country:US
Mailing Address - Phone:262-794-7360
Mailing Address - Fax:
Practice Address - Street 1:10435 W PLUM TREE CIR APT 101
Practice Address - Street 2:
Practice Address - City:HALES CORNERS
Practice Address - State:WI
Practice Address - Zip Code:53130-2645
Practice Address - Country:US
Practice Address - Phone:262-794-7360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5040-27224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant