Individual
ALBERT PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2630 HOLME AVE, SUITE 200, PHILADELPHIA, PA 19152-3004
(215) 992-4960
(215) 992-4961
Mailing address
2630 HOLME AVE, SUITE 200, PHILADELPHIA, PA 19152-3004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT021930
PA
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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