Individual
MS. ALEXA SUZANNE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
103 JOHNSON ST, LYNN, MA 01902-4001
(781) 593-2727
(781) 593-2542
Mailing address
20 STANLEY RD, LYNNFIELD, MA 01940-1732
(781) 593-2727
(781) 593-2542
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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