Individual
HEATHER NICOLE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
429 MANOR DRIVE, EBENSBURG, PA 15931
(814) 472-6060
Mailing address
6551 FIVE POINTS RD., CREEKSIDE, PA 15732
(724) 599-8960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT024988
PA
Other
Enumeration date
02/10/2016
Last updated
02/05/2019
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