Individual
EMILY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715
(608) 417-5751
(608) 417-5315
Mailing address
630 MARYLAND AVE APT 2A, PITTSBURGH, PA 15232-1737
(815) 878-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14450
WI
Other
Enumeration date
02/05/2017
Last updated
09/17/2018
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