Brenda Jean Park, MSPT

NPI #1679848105 in Ware, Massachusetts

Provider Information

NPI Number: 1679848105
Entity Type: Individual
Name: Brenda Jean Park, MSPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Mar 16, 2012
Last Updated: Mar 16, 2012

Practice Location

Address: 59 BABCOCK TAVERN RD
City: Ware
State: Massachusetts
ZIP Code: 01082-9509
Phone: (413) 067-7741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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