Provider Demographics
NPI:1174129555
Name:PARENTE, WILLIAM ROLLIN (DPT, ATC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ROLLIN
Last Name:PARENTE
Suffix:
Gender:M
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MASSIE RD
Mailing Address - Street 2:BOX 400834
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22904-4834
Mailing Address - Country:US
Mailing Address - Phone:434-243-2419
Mailing Address - Fax:
Practice Address - Street 1:300 MASSIE RD
Practice Address - Street 2:ROOM 112
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22904-4834
Practice Address - Country:US
Practice Address - Phone:434-243-2419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260003232255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer