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1245057280
JEREMY PARK
OSWEGO, NY
NPI
1245057280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: NY 052956)
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
Dr. JEREMY PARK PT, DPT, CSCS
110 W 6TH ST
OSWEGO, NY 13126-2507
Phone number: 315-345-1262
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Mailing Address
Dr. JEREMY PARK PT, DPT, CSCS
5511 LEGIONNAIRE DR APT 206
CICERO, NY 13039-3517
Phone number: 315-345-1262
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