David Park Jr., ATP
Rehabilitation Counselor, Assistive Technology Supplier in Little Rock, AR. Individual provider (NPI-1).
NPI number1962377317
StatusActive
Last updated in NPPESOct 7, 2025
Details
- NPI
- 1962377317
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Park Jr.
- Credential
- ATP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2025
- Certification date
- Oct 7, 2025
- Last updated
- Oct 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225CA2500X | Rehabilitation Counselor, Assistive Technology Supplier | – | – | Yes |
Practice location
1523 S Bowman Rd Ste ALittle Rock, AR 72211-4226
Phone 501-221-2258 · Fax 501-225-3502
Mailing address
1523 S Bowman Rd Ste ALittle Rock, AR 72211-4226
Phone 501-221-2258 · Fax 501-225-3502
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