Individual
BARBARA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3425 E LOCUST ST STE 101, DAVENPORT, IA 52803-3573
(563) 332-6596
(563) 888-1626
Mailing address
3425 E LOCUST ST STE 101, DAVENPORT, IA 52803-3573
(563) 332-6596
(563) 888-1626
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
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