Brenda Jean Park, MSPT is a
Physical Therapist based in Ware, Massachusetts. Brenda Jean Park is licensed to practice in Massachusetts (license number 18547) and her current practice location is
59 Babcock Tavern Rd, Ware, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(413) 067-7741.
NPI number for Brenda Jean Park is 1679848105 and her current mailing address is 59 Babcock Tavern Rd, Ware, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679848105.
Healthcare Provider's Profile
Full Name | Brenda Jean Park |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 59 Babcock Tavern Rd, Ware, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679848105
- Provider Enumeration Date: 03/16/2012
- Last Update Date: 03/16/2012
Medical Identifiers
Medical identifiers for Brenda Jean Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679848105 | NPI | - | NPPES |
18547 | Other | MA | DIVISION OF PROFESSIONAL LICENSURE BOARD OF ALLIED HEALTH PROFESSIONS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 18547 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda Jean Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brenda Jean Park, MSPT 59 Babcock Tavern Rd, Ware, MA 01082-9509 Ph: (413) 067-7741 | Brenda Jean Park, MSPT 59 Babcock Tavern Rd, Ware, MA 01082-9509 Ph: (413) 067-7741 |
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