Kwan Park PT

NPI 1144417395 - Physical Therapist - 225100000X

NPI Details
NPI 1144417395
Gender Male
Enumeration Date 10/02/2007
Last Updated 10/23/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
111 N CENTRAL AVE
#260
HARTSDALE NY, 10530-1903, US
Phone (914) 683-7388
Fax (914) 683-8419
Business Location
111 NORTH CENRAL AVENUE
#260
HARTSDALE NY, 10530, US
Phone (914) 683-7388
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 025679
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According to our database, Mr. Kwan Park PT NPI is 1144417395, taxonomy code is 225100000X and license number is 025679, license state is located at New York. Kwan Park PT physically located at 111 N Central Ave, Hartsdale NY, 10530-1903. NPI Number Kwan Park PT has the Individual type.

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1144417395 NPI number is provided on an as is basis without warranty of any kind. 1144417395 is maintained by the National Plan & Provider Enumeration System. The contents of Kwan Park PT are for informational purposes only.