IndividualActive
Sung Park, CFTS
NPI 1154860104 · Orthotic Fitter · Centreville, VA
Provider details
- NPI number
- 1154860104
- Entity type
- Individual
- Primary specialty
- Orthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CFTS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5602 Oakham Pl
Centreville, VA 20120-5214
Phone: (571) 318-9711
Fax: (844) 971-9711
Approximate (ZIP-level) locationGet directions
Mailing address
5602 Oakham Pl
Centreville, VA 20120-5214
Registry dates
- Enumerated
- 2017-02-22
- Last updated
- 2017-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.