NPI | 1225309958 |
---|---|
Former Name | SEUNG CHAE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK 5813) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2012-01-26 |
Last Update Date | 2023-07-31 |