Samuel Park, PT, DPT Valid NPI

Individual provider · Physical Therapist · San Bernardino, CA

NPI

1861319196

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

Sex

Male

Sole proprietor

Yes

Enumerated

2026-06-29

Last updated

2026-06-29