Basic Information
Provider Information
NPI: 1053960146
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARROTT
FirstName: CHRISTINE
MiddleName:  
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NameSuffix:  
Credential:  
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Mailing Information
Address1: 2251 S ELMS RD
Address2:  
City: SWARTZ CREEK
State: MI
PostalCode: 484739744
CountryCode: US
TelephoneNumber: 8102301668
FaxNumber:  
Practice Location
Address1: G3201 BEECHER RD
Address2:  
City: FLINT
State: MI
PostalCode: 485323615
CountryCode: US
TelephoneNumber: 8107207928
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/10/2019
LastUpdateDate: 09/10/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
224Z00000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant 

No ID Information.


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