Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANGDAE PARK
Active Sole ProprietorSANGDAE PARK is a Physical Therapy Assistant healthcare provider located in SEBASTOPOL, California. NPI 1922543875 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SEBASTOPOL, CA
Registration Details
- NPI Number
- 1922543875
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2017 (9.6195127294693 yrs)
- Last Updated
- Jan 2, 2017
- License
-
43130 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
556 LYDING LNSEBASTOPOL, CA, 954723311Browse CA providers · Browse ZIP 95472
- Phone
- 2028700644
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SEBASTOPOL, CA
| Name | Credential | NPI |
|---|---|---|
| PAULA TANKSLEY | PT | 1093790529 |
| PATRICIA DONOVAN MARTINEZ | P.T. | 1326180175 |
| MRS. SAMANTHA MARIE JACOBS | M.S.P.T. | 1306988712 |
| JORGEANNE SURGEE LABOU | P.T. | 1821285651 |
| AGNES LEONIA VAN DE PUT | PT | 1588812721 |
| MS. GILLIAN M PENDLETON | P.T | 1639316631 |
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.