Search › Delaware › 2255A2300X
Kiersten Park, MS, LAT, ATC
NPI 1124561840 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2621 Boxwood Dr
Wilmington, DE 19810 - Phone
- (302) 290-4067
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
2255A2300X
2255A2300X - Licence states on file
- DE, PA, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Delaware