Gage W Park, DPT

NPI #1073138434 in Pryor, Oklahoma

Provider Information

NPI Number: 1073138434
Entity Type: Individual
Name: Gage W Park, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 11, 2020
Last Updated: Jun 11, 2020

Practice Location

Address: 165 STEVE BARRY BLVD
City: Pryor
State: Oklahoma
ZIP Code: 74361-6841
Phone: (918) 824-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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