Chan Park

NPI #1255168209 in Ellicott City, Maryland

Provider Information

NPI Number: 1255168209
Entity Type: Individual
Name: Chan Park
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 16, 2024
Last Updated: Sep 16, 2024

Practice Location

Address: 10314B BALTIMORE NATIONAL PIKE
City: Ellicott City
State: Maryland
ZIP Code: 21042-2128
Phone: (410) 720-2464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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