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Individual
JOSEPH PARK
Active
Individual
JOSEPH PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39588
CA
Other
Enumeration date
11/16/2012
Last updated
05/23/2016
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