Ezekiel Park

NPI 1821563842 · on the registry since 2018

Practice

Address: 3460 Torrance Blvd Ste 100
Torrance, CA 90503
Phone: (310) 371-8555
Organisation at this address: Kids In Motion Pediatric Therapy
Kids In Motion Physical Therapy, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 69

Registry record

Primary taxonomy: 225XP0200X
225XP0200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-03

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 California