Doctor Name: | DANIEL Y PARK |
NPI Number: | 1114359908 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2305208136 |
Business Practice Address: | 8550 Lee Hwy Suite 450 Fairfax, VA - 220311515 |
Business Phone Number: | 7032081002 |
Business Fax Number: | 7032081127 |
Mailing Address: | Po Box 1769, MIDDLEBURG |
State: | VA |
Postal Code: | 201181769 |
Phone Number: | 5406878181 |
Fax Number: | 5406878256 |
NPI Enumeration Date: | 08/02/2013 |
NPI Last Update Date: | 08/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305208136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |