Gary Park, PTA

NPI #1538238423 in Grandview, Missouri

Provider Information

NPI Number: 1538238423
Entity Type: Individual
Name: Gary Park, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 7, 2006
Last Updated: Jul 23, 2013

Practice Location

Address: 13830 S 71 HIGHWAY
City: Grandview
State: Missouri
ZIP Code: 64030
Phone: (816) 761-8088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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