Individual ProviderYoojin ParkPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address195 Falcon Drive, Fredericksburg, VA 22408(540) 735-0260PECOS EnrollmentBased on the most recent information from CMS, provider Yoojin Park does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1821161035Provider TypeIndividualFull NamePark, YoojinTitleMs.CredentialDPTGenderFemaleSole ProprietorNoEnumeration Date11/16/2006Last Updated6/10/2010Contact InformationPractice LocationPractice Address195 Falcon Drive, Fredericksburg, VA 22408Phone(540) 735-0260Fax(540) 735-0262Mailing LocationMailing Address1203 Anderson St, Fredericksburg, VA 22401-2630Phone(540) 735-0260Fax(540) 735-0262Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerVirginia