Individual
ANDREW PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-7546
(608) 417-6571
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214562
VA
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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