Provider Demographics
NPI:1487928479
Name:CLARA PARNELL OTR/L
Entity type:Organization
Organization Name:CLARA PARNELL OTR/L
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:W
Authorized Official - Last Name:PARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, MS,CAPS
Authorized Official - Phone:205-516-3250
Mailing Address - Street 1:3100 LORNA RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5453
Mailing Address - Country:US
Mailing Address - Phone:205-979-7004
Mailing Address - Fax:205-979-7004
Practice Address - Street 1:3100 LORNA RD
Practice Address - Street 2:SUITE 305
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-5453
Practice Address - Country:US
Practice Address - Phone:205-979-7004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0435225XL0004X, 225XE0001X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow VisionGroup - Single Specialty
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental ModificationGroup - Single Specialty