Individual
RYAN SCOTT PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT-C
Contact information
Practice address
317 N EL CAMINO REAL, SUITE 405, ENCINITAS, CA 92024-2811
(760) 942-0565
Mailing address
317 N EL CAMINO REAL, SUITE 405, ENCINITAS, CA 92024-2811
(760) 942-0565
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
06-0806
CA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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