Individual provider · Type 1 NPI
Jeremy Park, PT, DPT, CSCS
Orthopedic Physical Therapist · Oswego, NY
Practice location
110 W 6th St
Oswego, NY 13126-2507
Mailing address
5511 Legionnaire Dr Apt 206
Cicero, NY 13039-3517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Physical Therapist Primary | 2251X0800X | 052956 (NY) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
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About NPI 1245057280
Jeremy Park, PT, DPT, CSCS's National Provider Identifier is 1245057280, issued on Sep 23, 2024. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Oswego, NY. The record was last updated on Sep 23, 2024.