Individual
TRISHA JEAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29516 KOHOUTEK WAY, UNION CITY, CA 94587-1221
(510) 441-8240
Mailing address
29516 KOHOUTEK WAY, UNION CITY, CA 94587-1221
(510) 441-8240
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
18216
CA
Other
Enumeration date
07/02/2018
Last updated
08/12/2020
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