Individual
MR. DAVID PARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3062 BLUEBROOK DR, WINTER PARK, FL 32792-8704
(321) 480-6756
Mailing address
3062 BLUEBROOK DR, WINTER PARK, FL 32792-8704
(321) 480-6756
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13295
FL
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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