Individual
KI SOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12825 MINNIEVILLE ROAD SUITE 201, LAKE RIDGE, VA 22192
(703) 647-3130
Mailing address
4610 LAWN CT, FAIRFAX, VA 22032
(571) 338-4865
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us