Bryan Park

NPI #1184284994 in Kaneohe, Hawaii

Provider Information

NPI Number: 1184284994
Entity Type: Individual
Name: Bryan Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 14, 2019
Last Updated: Jun 14, 2019

Practice Location

Address: 45-090 NAMOKU ST
City: Kaneohe
State: Hawaii
ZIP Code: 96744-5305
Phone: (808) 247-6211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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