Healthcare Provider Details

I. General information

NPI: 1730363565
Provider Name (Legal Business Name): ANNETTE Y PARRIS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 03/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 MEDICAL PARK DR
ASHEVILLE NC
28803-2493
US

IV. Provider business mailing address

18 MEDICAL PARK DR
ASHEVILLE NC
28803-2493
US

V. Phone/Fax

Practice location:
  • Phone: 828-253-7521
  • Fax: 828-225-3928
Mailing address:
  • Phone: 828-253-7521
  • Fax: 828-225-3928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0941
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number0941
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: