Individual provider · Type 1 NPI

Jordan T. Park

Physical Therapy Assistant · Lawton, OK

NPI number 1295433191 Active

Practice location

3401 W Gore Blvd
Lawton, OK 73505-6332

Call (580) 355-8620 Map

Mailing address

402 NW Sheridan Rd Apt 1705
Lawton, OK 73505-6573

Other practice locations

  • 1680 Eatonton Rd, Madison, GA 30650-4628 · (706) 342-1971

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XPTA004927 (GA)
Physical Therapy Assistant Primary 225200000XPTA31577 (FL)

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 …

185 other providers at this address

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About NPI 1295433191

Jordan T. Park's National Provider Identifier is 1295433191, issued on Feb 20, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lawton, OK. The record was last updated on Feb 20, 2023.