Jin Sook Park, | |
630 Hillcrest Dr, Redwood City, CA 94062 | |
(408) 829-8482 | |
Not Available |
Full Name | Jin Sook Park |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 630 Hillcrest Dr, Redwood City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255548343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 2532 (Hawaii) | Secondary |
225100000X | Physical Therapist | PT22150 (California) | Primary |
Provider Name | Sand Coast Rehab Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
Mailing Address | Practice Location Address |
---|---|
Jin Sook Park, 630 Hillcrest Dr, Redwood City, CA 94062-3066 Ph: (408) 829-8482 | Jin Sook Park, 630 Hillcrest Dr, Redwood City, CA 94062 Ph: (408) 829-8482 |
Mrs. Nadia Madeline Cooper, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-6053 | |
Mary Beth Richardson, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3940 | |
Lena Rudolph, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Arlene Mccarthy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-4059 | |
Jason Anthony Martins La Rosa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2944 Broadway, Redwood City, CA 94062 Phone: 650-261-0330 | |
Amanda Katherine So, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Veterans Blvd Ste 230, Redwood City, CA 94063 Phone: 650-701-0390 | |
Kathleen Therese Copa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1779 Woodside Rd, Suite #102, Redwood City, CA 94061 Phone: 650-780-9700 |