JUSTINE MICHELLE PARK

FREMONT, CA
NPI1033485594
Former NameJUSTINE MICHELLE TEKAWA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  11173)
Enumeration Date2012-03-29
Last Update Date2012-03-29
Business Address
-- JUSTINE MICHELLE PARK OTR/L
43555 GRIMMER BLVD APT B115
FREMONT, CA 94538-5981
Phone number: 510-274-7600
Mailing Address
-- JUSTINE MICHELLE PARK OTR/L
43555 GRIMMER BLVD APT B115
FREMONT, CA 94538-5981
Phone number: 510-274-7600