Individual
BARBARA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02329
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-3903851
PRIVATE INSURANCE
IA
05
—
81-3903851
—
IA
Enumeration date
09/28/2016
Last updated
10/18/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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