Individual
JAMES OBEDIENCE PARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1566
Mailing address
9206 LIMESTONE PL, COLLEGE PARK, MD 20740-3944
(240) 713-8514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
01/08/2024
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