Healthcare Provider Details

I. General information

NPI: 1972431013
Provider Name (Legal Business Name): PARAND JALILI
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 S MAIN ST
SHARON MA
02067-2841
US

IV. Provider business mailing address

250 E MAIN ST
NORTON MA
02766-2436
US

V. Phone/Fax

Practice location:
  • Phone: 857-444-1090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number89271
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: