Individual
DR. GYUHYUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
325 HANSON STEREET, WINEMUCCA, NV 89445-3607
Mailing address
325 HANSON ST, WINNEMUCCA, NV 89445-3607
(775) 625-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3910
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3910
PHYSICAL THERAPY LICENSE
NV
Enumeration date
01/10/2019
Last updated
01/10/2019
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