Provider Demographics
NPI:1720824683
Name:PARVAZE, NADIA (PT)
Entity type:Individual
Prefix:MS
First Name:NADIA
Middle Name:
Last Name:PARVAZE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1719 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-5542
Mailing Address - Country:US
Mailing Address - Phone:512-348-6544
Mailing Address - Fax:737-843-1112
Practice Address - Street 1:1719 TIMBER RIDGE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-5542
Practice Address - Country:US
Practice Address - Phone:512-348-6544
Practice Address - Fax:737-843-1112
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty