Individual
CHRISTOPHER PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 WASHINGTON AVE, SUITE 18U-A, PHILADELPHIA, PA 19147-4836
(215) 678-4620
Mailing address
11805 AUDUBON AVE, PHILADELPHIA, PA 19116-2416
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT025677
PA
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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