| NPI | 1982176228 |
|---|---|
| Former Name | JEAN PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: PA OC014887) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC14887) |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2023-04-20 |