Individual
DANIEL Y PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8550 LEE HWY, SUITE 450, FAIRFAX, VA 22031-1515
(703) 208-1002
(703) 208-1127
Mailing address
PO BOX 1769, MIDDLEBURG, VA 20118-1769
(540) 687-8181
(540) 687-8256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208136
VA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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