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Individual

SUNG H PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CFTS

Contact information

Practice address
5602 OAKHAM PL, CENTREVILLE, VA 20120-5214
(571) 318-9711
(844) 971-9711
Mailing address
5602 OAKHAM PL, CENTREVILLE, VA 20120-5214
(571) 318-9711
(844) 971-9711

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary

Other

Enumeration date
02/22/2017
Last updated
02/22/2017
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