Individual
CHAN JIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1604 ROOSEVELT AVE, TOLEDO, OH 43607-1461
(419) 340-6188
Mailing address
1604 ROOSEVELT AVE, TOLEDO, OH 43607-1461
(419) 340-6188
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
5502008435
MI
225200000X
Physical Therapy Assistant
Primary
PTA013736
OH
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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