Individual
CLARK HYUN-IL SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
132 GOLDMINE LN, OLD BRIDGE, NJ 08857-3325
(732) 672-6866
Mailing address
132 GOLDMINE LN, OLD BRIDGE, NJ 08857-3325
(732) 672-6866
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00710600
NJ
Other
Enumeration date
07/08/2018
Last updated
07/08/2018
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