Individual
JIWON SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1902 ROYALTY DR # 170, POMONA, CA 91767-3030
(909) 620-9700
Mailing address
1902 ROYALTY DR # 170, POMONA, CA 91767-3030
(909) 620-9700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25607
CA
Other
Enumeration date
10/12/2021
Last updated
02/01/2024
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