Individual
CONNIE SEHEE JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2703 42ND RD APT 17B, LONG ISLAND CITY, NY 11101-4138
(714) 515-2378
Mailing address
2703 42ND RD APT 17B, LONG ISLAND CITY, NY 11101-4138
(714) 515-2378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022373
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HX0007011522
—
NY
Enumeration date
04/23/2018
Last updated
04/23/2018
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