| NPI | 1568856128 |
|---|---|
| Former Legal Business Name | BLUEPARK THERAPY PLLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN FREYMAN Owner 501-908-3651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2018-07-15 |