OLIVIA PARK, MD
Physical Medicine & Rehabilitation
Active
Individual
NPI: 1669761748
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Medicine & Rehabilitation | 208100000X | Yes | 72450-20 (WI) |
| Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine | 2081P0004X | No | 72450-20 (WI) |
Frequently Asked Questions
NPI 1669761748 is the National Provider Identifier for OLIVIA PARK, MD, a Physical Medicine & Rehabilitation provider located in Kenosha, WI. This NPI was enumerated on March 29, 2011.
OLIVIA PARK, MD practices at 6308 8TH AVE, Kenosha, WI 53143.
Quick Facts
- NPI
- 1669761748
- Type
- Individual
- Enumerated
- Mar 29, 2011
- Last Updated
- Dec 3, 2025
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