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Individual
MS. KYUNG-RAN TAE
Active
Individual
MS. KYUNG-RAN TAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10347
CA
Other
Enumeration date
05/13/2011
Last updated
07/30/2026
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