Sangdae Park
NPI #1922543875 in Sebastopol, California
Provider Information
- NPI Number
- 1922543875
- Entity Type
- Individual
- Name
- Sangdae Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 2, 2017
- Last Updated
- Jan 2, 2017
Practice Location
- Address
- 556 LYDING LN
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-3311
- Phone
- (202) 870-0644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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