Individual
MRS. ALLISON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9300 CIVIC WAY, PROSPECT, KY 40059-6619
(502) 233-3855
Mailing address
9018 BRANDYWYNE DR, LOUISVILLE, KY 40291-1361
(270) 205-0753
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A04174
KY
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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