Individual
MR. HYUNGCHUL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
580 TOMMY LEE FULLER DR, LOGANVILLE, GA 30052-3943
(770) 466-7388
Mailing address
580 TOMMY LEE FULLER DR, LOGANVILLE, GA 30052-3943
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006922
GA
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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