Provider Demographics
NPI:1295176501
Name:PARRISH, HOLLY ML JONES (DPT)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:ML JONES
Last Name:PARRISH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NC
Mailing Address - Zip Code:28315-2812
Mailing Address - Country:US
Mailing Address - Phone:910-944-1169
Mailing Address - Fax:
Practice Address - Street 1:200 N POPLAR ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2812
Practice Address - Country:US
Practice Address - Phone:910-944-1169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12113225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist