NPI 1154860104

Sung H Park, CFTS

Practitioner Orthotic Fitter Centreville, VA

Practice location

Address: 5602 Oakham Pl, Centreville, VA 20120-5214
Phone: (571) 318-9711
Fax: (844) 971-9711

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1154860104
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2017
Record last updated: 22 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.