Eunse Park, PT, PHD

Physical Therapist · Suwanee, GA

Individual Active NPI

NPI number 1407740293

Practice location

80 Horizon Dr Ste 304b
Suwanee, GA 30024-7740
Phone
(770) 591-8797

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NPI record

NPI
1407740293
Entity type
Individual (Type 1)
Enumeration date
June 5, 2025
Last updated
June 5, 2025
Certified
June 5, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X CP044415T GA
Physical Therapist 225100000X PTH12228 AL

Mailing address

4260 Granby Cir
Cumming, GA 30041-5807
Phone
(302) 985-1455

About Eunse Park

Eunse Park, PT, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 80 Horizon Dr Ste 304b, Suwanee, GA 30024-7740. The NPI number 1407740293 was assigned on June 5, 2025 and the record was last updated on June 5, 2025.

Eunse Park lists 2 licenses in the registry: #CP044415T (GA) for Physical Therapist; #PTH12228 (AL) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eunse Park, PT, PHD?

The NPI number is 1407740293.

What is the phone number of Eunse Park?

The phone number listed for the practice location is (770) 591-8797.

Where is Eunse Park located?

80 Horizon Dr Ste 304b, Suwanee, GA 30024-7740.

What is the taxonomy code for Eunse Park?

The primary taxonomy code is 225100000X – Physical Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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