Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JISEON PARK, PT,DPT
ActiveJISEON PARK, PT,DPT is a Physical Therapy Assistant healthcare provider located in MANASSAS, Virginia. NPI 1265817746 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MANASSAS, VA
Registration Details
- NPI Number
- 1265817746
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2015 (11.04608456832 yrs)
- Last Updated
- Jul 24, 2015
- License
-
2305209357 (VA)
Practice Information
- Address
-
8551 RIXLEW LNSTE 340MANASSAS, VA, 201094277Browse VA providers · Browse ZIP 20109
- Phone
- 7033687343
- Fax
- 7033680719
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MANASSAS, VA
| Name | Credential | NPI |
|---|---|---|
| MS. JACQUELINE JOANNE CORRY | DPT | 1124025077 |
| DR. SHUKRI ABDULLAHI HIRSI-ESSA | DPT | 1275532244 |
| LISA GORDON LATOURETTE | MSPT | 1356391536 |
| MARGARITA VILENO-SOSA | OTR CHT | 1194742262 |
| ANN I POPOVICH | P.T. | 1972527596 |
| DAVID S MIZENER | P.T. | 1609890912 |
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.