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NPI Code Detail

MEDICARE: JACQUELINE MCNEILL PAROLIN DPT

MEDICARE: JACQUELINE MCNEILL PAROLIN DPT
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
12251X0800XOrthopedic Physical TherapistP16324NC

General Provider Information

NPI Number : 1427406354
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE MCNEILL PAROLIN DPT
Provider Business Mailing Address
First Line : 415 BERTONLEY AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-1501
Country : US
Telephone Number : 704-607-8461
Fax Number :
Provider Business Practice Location Address
First Line : 9405 BRYANT FARMS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-1642
Country : US
Telephone Number : 980-207-2707
Fax Number : 980-207-2783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2016
Last Update Date : 04/04/2022

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Directions to “ JACQUELINE MCNEILL PAROLIN DPT” Practice Location

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