Provider Demographics
NPI:1811969223
Name:PARSONS, CRAIG EDWARD (MS, PT)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:EDWARD
Last Name:PARSONS
Suffix:
Gender:M
Credentials:MS, PT
Other - Prefix:
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Mailing Address - Street 1:980 WASHINGTON ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-6731
Mailing Address - Country:US
Mailing Address - Phone:781-326-1400
Mailing Address - Fax:781-326-1488
Practice Address - Street 1:980 WASHINGTON ST
Practice Address - Street 2:SUITE 121
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-6731
Practice Address - Country:US
Practice Address - Phone:781-326-1400
Practice Address - Fax:781-326-1488
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2013-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA8421225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY66852OtherBCBS OF MASS
MAPA Y68254Medicare ID - Type Unspecified