Individual provider · Type 1 NPI
Ki Soo Park
Physical Therapy Assistant · Lake Ridge, VA
Practice location
12825 Minnieville Road Suite 201
Lake Ridge, VA 22192
Mailing address
4610 Lawn Ct
Fairfax, VA 22032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | None listed |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
Other physical therapy assistant providers in Lake Ridge
About NPI 1205480779
Ki Soo Park's National Provider Identifier is 1205480779, issued on Aug 1, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Ridge, VA. The record was last updated on Aug 1, 2019.