Individual
CLAIRE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Mailing address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
08/06/2024
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