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Search › Virginia › 225X00000X

Chanelle Park, OTR/L

NPI 1396293825 · on the registry since 2016

Practice

Address
2978 Centreville Rd
Herndon, VA 20171
Phone
(703) 934-5000
Organisation at this address
Csp Nova Llc
Virginia Internal Medicine Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-09-13

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 Virginia