Provider Demographics
NPI:1427406354
Name:PAROLIN, JACQUELINE MCNEILL (DPT)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:MCNEILL
Last Name:PAROLIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:
Other - Last Name:MCNEILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:415 BERTONLEY AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1501
Mailing Address - Country:US
Mailing Address - Phone:704-607-8461
Mailing Address - Fax:
Practice Address - Street 1:9405 BRYANT FARMS RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-1642
Practice Address - Country:US
Practice Address - Phone:980-207-2707
Practice Address - Fax:980-207-2783
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP163242251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic