Natalie Park, DPT | |
710 94th Ave N Ste 310, St Petersburg, FL 33702-2452 | |
(813) 575-0427 | |
Not Available |
Full Name | Natalie Park |
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Gender | Female |
Speciality | Physical Therapist |
Location | 710 94th Ave N Ste 310, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871052654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT39298 (Florida) | Primary |
Provider Name | Willow Physical Therapy Limited |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831123165 PECOS PAC ID: 7719979400 Enrollment ID: O20040401001074 |
Mailing Address | Practice Location Address |
---|---|
Natalie Park, DPT 710 94th Ave N Ste 310, St Petersburg, FL 33702-2452 Ph: (813) 575-0427 | Natalie Park, DPT 710 94th Ave N Ste 310, St Petersburg, FL 33702-2452 Ph: (813) 575-0427 |
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