Provider Demographics
NPI:1992740476
Name:PARRY, JOSEPH STANLEY (ATC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:STANLEY
Last Name:PARRY
Suffix:
Gender:M
Credentials:ATC
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Other - Credentials:
Mailing Address - Street 1:18782 CAMINITO CANTILENA
Mailing Address - Street 2:137
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-6122
Mailing Address - Country:US
Mailing Address - Phone:858-336-7159
Mailing Address - Fax:619-260-4742
Practice Address - Street 1:5998 ALCALA PARK
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-2476
Practice Address - Country:US
Practice Address - Phone:619-260-8895
Practice Address - Fax:619-260-4742
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer