Individual
MARY JARET PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5131 WARM SPRINGS RD, COLUMBUS, GA 31909-4196
(931) 809-0354
Mailing address
5200 GREYSTONE SUMMIT DR APT 415, COLUMBUS, GA 31909-7546
(931) 809-0354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011766
GA
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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