Provider Demographics
NPI:1881607737
Name:PARISE, PATRICIA MARIE (OTR)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MARIE
Last Name:PARISE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 S PARKER ST
Mailing Address - Street 2:SUITE D.
Mailing Address - City:MARINE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48039-3572
Mailing Address - Country:US
Mailing Address - Phone:810-765-3300
Mailing Address - Fax:810-765-4404
Practice Address - Street 1:515 S PARKER ST
Practice Address - Street 2:SUITE D.
Practice Address - City:MARINE CITY
Practice Address - State:MI
Practice Address - Zip Code:48039-3572
Practice Address - Country:US
Practice Address - Phone:810-765-3300
Practice Address - Fax:810-765-4404
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI686432225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist