MS. Alexa Suzanne Park, BS

NPI #1326253246 in Lynn, Massachusetts

Provider Information

NPI Number: 1326253246
Entity Type: Individual
Name: MS. Alexa Suzanne Park, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Credential: BS
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 103 JOHNSON ST
City: Lynn
State: Massachusetts
ZIP Code: 01902-4001
Phone: (781) 593-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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