# CAPITOL HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881358091
- **Authorized official:** KYOUNGHWA JOY KWON PH.D. (CCC-SLP)
- **Authorized official phone:** (105) 054-5594

## Contact information

- **Practice address:** 4115 SEARS HOUSE CT, ELLICOTT CITY, MD 21043-5407
- **Practice address phone:** (410) 505-4559
- **Mailing address:** 4115 SEARS HOUSE CT, ELLICOTT CITY, MD 21043-5407
- **Mailing address phone:** (410) 505-4559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2021
- **Last updated:** 09/06/2023