Individual
JENNY PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12131 BROOKHURST ST, GARDEN GROVE, CA 92840-2863
(714) 684-8188
Mailing address
8681 KATELLA AVE SPC 153, STANTON, CA 90680-4278
(626) 739-0680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25169
CA
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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