JONG T PARK

CHAMPAIGN, IL
NPI1811038672
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-011932)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
Mr. JONG T PARK PT, MPT
2906 CROSSING CT
CHAMPAIGN, IL 61822-6163
Phone number: 217-356-6543
Mailing Address
Mr. JONG T PARK PT, MPT
2906 CROSSING CT
CHAMPAIGN, IL 61822-6163
Phone number: 217-356-6543
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