Individual
DR. ALCINA J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
516 KENOSIA AVE S, KENT, WA 98030-5909
(253) 852-2737
Mailing address
4534 CASHMERE DR NE, LACEY, WA 98516-1356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61485537
WA
Other
Enumeration date
01/12/2024
Last updated
01/29/2024
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