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Individual

JULIE PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15 S MAIN ST, SUITE 220, JAMESTOWN, NY 14701-6626
(716) 488-2322
(716) 488-2574
Mailing address
10 4TH AVE, WARREN, PA 16365-2314
(716) 488-2322
(716) 488-2574

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008030
NY

Other

Enumeration date
10/17/2012
Last updated
10/17/2012
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