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1730757071
ELLENNE J PARK
SAN FRANCISCO, CA
NPI
1730757071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
ELLENNE J PARK PT, DPT, CSRS
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143-2204
Phone number: 415-476-1000
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Mailing Address
ELLENNE J PARK PT, DPT, CSRS
170 PACIFIC AVE APT 24
SAN FRANCISCO, CA 94111-1959
Phone number: 908-331-4931
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