Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | ||
N | 2251S0007X | Physical Therapist - Sports | DC | |
Y | 2251X0800X | Physical Therapist - Orthopedic | DC |
NPI | 1609421577 |
---|---|
Provider Name | Djenne Parris |
First Address | Brookfield, CT 06804-1919 |
Second Address | Washington, DC 20010-2921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2019 |
Last Update Date | 10/02/2020 |