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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAMES D PARK, DOM

Active Sole Proprietor

DR. JAMES D PARK, DOM is a Physical Therapy Assistant healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1255396719 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ALBUQUERQUE, NM

Registration Details

NPI Number
1255396719
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2006 (20.296464905208 yrs)
Last Updated
Sep 20, 2012
Licenses
866 RX-1 (NM)
2074 (NM)
Sole Proprietor
Yes

Practice Information

Address
6501 EAGLE ROCK AVE NE
SUITE A6
ALBUQUERQUE, NM, 871132478
Browse NM providers · Browse ZIP 87113
Phone
5057975400
Fax
5057972905
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ALBUQUERQUE, NM

Name Credential NPI
MR. BARRY SCOTT MICHAELSON MPT 1528066883
LINDA KEAHEY-OBERDORFER PT 1992791784
MRS. JUDI ANN KIL P.T. 1942282678
JEFFREY M KLOER P.T. 1043298573
TONY L RUSK P.T. 1689652117
RICK S MURDOCH PT 1760461479
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.