Provider Demographics
NPI:1255617437
Name:PARSONS, DESCYGNE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:DESCYGNE
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:DESCYGNE
Other - Middle Name:
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:6311 KNIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-3840
Mailing Address - Country:US
Mailing Address - Phone:562-305-3845
Mailing Address - Fax:
Practice Address - Street 1:6311 KNIGHT AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-3840
Practice Address - Country:US
Practice Address - Phone:562-305-3845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT8508225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics