MEDICARE: BRIANNA PARSONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1760014898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA PARSONS

Provider Business Mailing Address
First Line	:	64 E 2ND ST
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07011-1609
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	64 E 2ND ST
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07011-1609
Country	:	US
Telephone Number	:	973-653-7299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2020
Last Update Date	:	02/06/2020

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Directions to “ BRIANNA PARSONS ” Practice Location

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