Individual
CHRISTA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
152 SADDLESHOP RD, HILLTOP, WV 25855
(304) 469-2966
Mailing address
70 ABIGAIL LN, FAYETTEVILLE, WV 25840-9203
(304) 619-4501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003882
WV
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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