Individual
BRANDON JUYOUNG PARK
Active
Individual
BRANDON JUYOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1325979
TX
225100000X
Physical Therapist
9526
SC
225100000X
Physical Therapist
CP003602T
TN
225100000X
Physical Therapist
CP004992T
GA
225100000X
Physical Therapist
PT60958690
WA
Other
Enumeration date
02/12/2019
Last updated
09/12/2023
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