Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 28502 | MD |
NPI | 1083283428 |
---|---|
Provider Name | Joseph Dominic Parisi |
First Address | Baltimore, MD 21202-5090 |
Second Address | Woodbine, MD 21797-8528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2021 |
Last Update Date | 21/06/2021 |