Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ABRAHAM PARK
Active Sole ProprietorABRAHAM PARK is a Physical Therapy Assistant healthcare provider located in HIGH RIDGE, Missouri. NPI 1174204911 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HIGH RIDGE, MO
Registration Details
- NPI Number
- 1174204911
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2023 (3.0508861395724 yrs)
- Last Updated
- Jul 25, 2023
- License
-
2023016616 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
32 DILLON PLAZA DRHIGH RIDGE, MO, 630492478Browse MO providers · Browse ZIP 63049
- Phone
- 6366773100
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in HIGH RIDGE, MO
| Name | Credential | NPI |
|---|---|---|
| AMY THOMAS | — | 1043329626 |
| CYNTHIA LOVELESS | — | 1801905484 |
| BETHANY STENGEL | — | 1225133697 |
| BENJAMIN MODDE | DPT | 1013550821 |
| TERESA JANE PHILLIPS | — | 1780566026 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.