Individual
DR. JAMIE JOSEPH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10 CROSSROADS DR, SUITE 208, OWINGS MILLS, MD 21117-5458
(443) 544-0100
Mailing address
73 WENDEL AVE, TONAWANDA, NY 14223-2916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22000
MD
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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