Individual
HANUL JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, L.AC
Contact information
Practice address
14428 HOMECREST RD, SILVER SPRING, MD 20906-1820
(240) 506-6549
Mailing address
14428 HOMECREST RD, SILVER SPRING, MD 20906-1820
(240) 506-6549
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0121000988
VA
171100000X
Acupuncturist
Primary
U02656
MD
225200000X
Physical Therapy Assistant
2306603843
VA
225200000X
Physical Therapy Assistant
A3686
MD
225700000X
Massage Therapist
0019018448
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A3686
—
MD
01
—
U02656
DHMH
MD
Enumeration date
09/08/2011
Last updated
01/27/2025
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