Individual
MRS. CARRIE LYNN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3400
(316) 634-3482
Mailing address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3400
(316) 634-3482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03739
KS
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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